http://hl7.org/fhir/StructureDefinition/Claim|5.0.0
A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.
| type | destination |
|---|---|
| baseDefinition | http://hl7.org/fhir/StructureDefinition/DomainResource |
| type | http://hl7.org/fhir/StructureDefinition/Claim |
| Claim.identifier.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.traceNumber.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.status.type | http://hl7.org/fhir/StructureDefinition/code |
| Claim.status.binding.valueSet | http://hl7.org/fhir/ValueSet/fm-status | 5.0.0 |
| Claim.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.type.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-type |
| Claim.subType.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.subType.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-subtype |
| Claim.use.type | http://hl7.org/fhir/StructureDefinition/code |
| Claim.use.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-use | 5.0.0 |
| Claim.patient.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.patient.targetProfile | http://hl7.org/fhir/StructureDefinition/Patient |
| Claim.billablePeriod.type | http://hl7.org/fhir/StructureDefinition/Period |
| Claim.created.type | http://hl7.org/fhir/StructureDefinition/dateTime |
| Claim.enterer.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.enterer.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| Claim.enterer.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| Claim.enterer.targetProfile | http://hl7.org/fhir/StructureDefinition/Patient |
| Claim.enterer.targetProfile | http://hl7.org/fhir/StructureDefinition/RelatedPerson |
| Claim.insurer.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.insurer.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| Claim.provider.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| Claim.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| Claim.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| Claim.priority.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.priority.binding.valueSet | http://hl7.org/fhir/ValueSet/process-priority |
| Claim.fundsReserve.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.fundsReserve.binding.valueSet | http://hl7.org/fhir/ValueSet/fundsreserve |
| Claim.related.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.related.claim.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.related.claim.targetProfile | http://hl7.org/fhir/StructureDefinition/Claim |
| Claim.related.relationship.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.related.relationship.binding.valueSet | http://hl7.org/fhir/ValueSet/related-claim-relationship |
| Claim.related.reference.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.prescription.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.prescription.targetProfile | http://hl7.org/fhir/StructureDefinition/DeviceRequest |
| Claim.prescription.targetProfile | http://hl7.org/fhir/StructureDefinition/MedicationRequest |
| Claim.prescription.targetProfile | http://hl7.org/fhir/StructureDefinition/VisionPrescription |
| Claim.originalPrescription.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.originalPrescription.targetProfile | http://hl7.org/fhir/StructureDefinition/DeviceRequest |
| Claim.originalPrescription.targetProfile | http://hl7.org/fhir/StructureDefinition/MedicationRequest |
| Claim.originalPrescription.targetProfile | http://hl7.org/fhir/StructureDefinition/VisionPrescription |
| Claim.payee.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.payee.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.payee.type.binding.valueSet | http://hl7.org/fhir/ValueSet/payeetype |
| Claim.payee.party.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.payee.party.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| Claim.payee.party.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| Claim.payee.party.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| Claim.payee.party.targetProfile | http://hl7.org/fhir/StructureDefinition/Patient |
| Claim.payee.party.targetProfile | http://hl7.org/fhir/StructureDefinition/RelatedPerson |
| Claim.referral.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.referral.targetProfile | http://hl7.org/fhir/StructureDefinition/ServiceRequest |
| Claim.encounter.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.encounter.targetProfile | http://hl7.org/fhir/StructureDefinition/Encounter |
| Claim.facility.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.facility.targetProfile | http://hl7.org/fhir/StructureDefinition/Location |
| Claim.facility.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| Claim.diagnosisRelatedGroup.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.diagnosisRelatedGroup.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup |
| Claim.event.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.event.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.event.type.binding.valueSet | http://hl7.org/fhir/ValueSet/datestype |
| Claim.event.when[x].type | http://hl7.org/fhir/StructureDefinition/dateTime |
| Claim.event.when[x].type | http://hl7.org/fhir/StructureDefinition/Period |
| Claim.careTeam.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.careTeam.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.careTeam.provider.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.careTeam.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Practitioner |
| Claim.careTeam.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/PractitionerRole |
| Claim.careTeam.provider.targetProfile | http://hl7.org/fhir/StructureDefinition/Organization |
| Claim.careTeam.responsible.type | http://hl7.org/fhir/StructureDefinition/boolean |
| Claim.careTeam.role.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.careTeam.role.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-careteamrole |
| Claim.careTeam.specialty.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.careTeam.specialty.binding.valueSet | http://hl7.org/fhir/ValueSet/provider-qualification |
| Claim.supportingInfo.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.supportingInfo.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.supportingInfo.category.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.supportingInfo.category.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-informationcategory |
| Claim.supportingInfo.code.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.supportingInfo.code.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-exception |
| Claim.supportingInfo.timing[x].type | http://hl7.org/fhir/StructureDefinition/date |
| Claim.supportingInfo.timing[x].type | http://hl7.org/fhir/StructureDefinition/Period |
| Claim.supportingInfo.value[x].type | http://hl7.org/fhir/StructureDefinition/boolean |
| Claim.supportingInfo.value[x].type | http://hl7.org/fhir/StructureDefinition/string |
| Claim.supportingInfo.value[x].type | http://hl7.org/fhir/StructureDefinition/Quantity |
| Claim.supportingInfo.value[x].type | http://hl7.org/fhir/StructureDefinition/Attachment |
| Claim.supportingInfo.value[x].type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.supportingInfo.value[x].targetProfile | http://hl7.org/fhir/StructureDefinition/Resource |
| Claim.supportingInfo.value[x].type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.supportingInfo.reason.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.supportingInfo.reason.binding.valueSet | http://hl7.org/fhir/ValueSet/missing-tooth-reason |
| Claim.diagnosis.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.diagnosis.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.diagnosis.diagnosis[x].type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.diagnosis.diagnosis[x].type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.diagnosis.diagnosis[x].targetProfile | http://hl7.org/fhir/StructureDefinition/Condition |
| Claim.diagnosis.diagnosis[x].binding.valueSet | http://hl7.org/fhir/ValueSet/icd-10 |
| Claim.diagnosis.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.diagnosis.type.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-diagnosistype |
| Claim.diagnosis.onAdmission.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.diagnosis.onAdmission.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission |
| Claim.procedure.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.procedure.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.procedure.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.procedure.type.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-procedure-type |
| Claim.procedure.date.type | http://hl7.org/fhir/StructureDefinition/dateTime |
| Claim.procedure.procedure[x].type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.procedure.procedure[x].type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.procedure.procedure[x].targetProfile | http://hl7.org/fhir/StructureDefinition/Procedure |
| Claim.procedure.procedure[x].binding.valueSet | http://hl7.org/fhir/ValueSet/icd-10-procedures |
| Claim.procedure.udi.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.procedure.udi.targetProfile | http://hl7.org/fhir/StructureDefinition/Device |
| Claim.insurance.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.insurance.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.insurance.focal.type | http://hl7.org/fhir/StructureDefinition/boolean |
| Claim.insurance.identifier.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.insurance.coverage.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.insurance.coverage.targetProfile | http://hl7.org/fhir/StructureDefinition/Coverage |
| Claim.insurance.businessArrangement.type | http://hl7.org/fhir/StructureDefinition/string |
| Claim.insurance.preAuthRef.type | http://hl7.org/fhir/StructureDefinition/string |
| Claim.insurance.claimResponse.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.insurance.claimResponse.targetProfile | http://hl7.org/fhir/StructureDefinition/ClaimResponse |
| Claim.accident.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.accident.date.type | http://hl7.org/fhir/StructureDefinition/date |
| Claim.accident.type.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.accident.type.binding.valueSet | http://terminology.hl7.org/ValueSet/v3-ActIncidentCode |
| Claim.accident.location[x].type | http://hl7.org/fhir/StructureDefinition/Address |
| Claim.accident.location[x].type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.accident.location[x].targetProfile | http://hl7.org/fhir/StructureDefinition/Location |
| Claim.patientPaid.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.item.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.item.traceNumber.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.item.careTeamSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.item.diagnosisSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.item.procedureSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.item.informationSequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.item.revenue.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.revenue.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-revenue-center |
| Claim.item.category.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.category.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-benefitcategory |
| Claim.item.productOrService.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.productOrService.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| Claim.item.productOrServiceEnd.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.productOrServiceEnd.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| Claim.item.request.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.item.request.targetProfile | http://hl7.org/fhir/StructureDefinition/DeviceRequest |
| Claim.item.request.targetProfile | http://hl7.org/fhir/StructureDefinition/MedicationRequest |
| Claim.item.request.targetProfile | http://hl7.org/fhir/StructureDefinition/NutritionOrder |
| Claim.item.request.targetProfile | http://hl7.org/fhir/StructureDefinition/ServiceRequest |
| Claim.item.request.targetProfile | http://hl7.org/fhir/StructureDefinition/SupplyRequest |
| Claim.item.request.targetProfile | http://hl7.org/fhir/StructureDefinition/VisionPrescription |
| Claim.item.modifier.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.modifier.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-modifiers |
| Claim.item.programCode.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.programCode.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-program-code |
| Claim.item.serviced[x].type | http://hl7.org/fhir/StructureDefinition/date |
| Claim.item.serviced[x].type | http://hl7.org/fhir/StructureDefinition/Period |
| Claim.item.location[x].type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.location[x].type | http://hl7.org/fhir/StructureDefinition/Address |
| Claim.item.location[x].type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.item.location[x].targetProfile | http://hl7.org/fhir/StructureDefinition/Location |
| Claim.item.location[x].binding.valueSet | http://hl7.org/fhir/ValueSet/service-place |
| Claim.item.patientPaid.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.quantity.type | http://hl7.org/fhir/StructureDefinition/Quantity |
| Claim.item.quantity.profile | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
| Claim.item.unitPrice.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.factor.type | http://hl7.org/fhir/StructureDefinition/decimal |
| Claim.item.tax.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.net.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.udi.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.item.udi.targetProfile | http://hl7.org/fhir/StructureDefinition/Device |
| Claim.item.bodySite.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.item.bodySite.site.type | http://hl7.org/fhir/StructureDefinition/CodeableReference |
| Claim.item.bodySite.site.targetProfile | http://hl7.org/fhir/StructureDefinition/BodyStructure |
| Claim.item.bodySite.site.binding.valueSet | http://hl7.org/fhir/ValueSet/tooth |
| Claim.item.bodySite.subSite.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.bodySite.subSite.binding.valueSet | http://hl7.org/fhir/ValueSet/surface |
| Claim.item.encounter.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.item.encounter.targetProfile | http://hl7.org/fhir/StructureDefinition/Encounter |
| Claim.item.detail.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.item.detail.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.item.detail.traceNumber.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.item.detail.revenue.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.revenue.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-revenue-center |
| Claim.item.detail.category.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.category.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-benefitcategory |
| Claim.item.detail.productOrService.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.productOrService.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| Claim.item.detail.productOrServiceEnd.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.productOrServiceEnd.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| Claim.item.detail.modifier.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.modifier.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-modifiers |
| Claim.item.detail.programCode.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.programCode.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-program-code |
| Claim.item.detail.patientPaid.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.quantity.type | http://hl7.org/fhir/StructureDefinition/Quantity |
| Claim.item.detail.quantity.profile | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
| Claim.item.detail.unitPrice.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.factor.type | http://hl7.org/fhir/StructureDefinition/decimal |
| Claim.item.detail.tax.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.net.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.udi.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.item.detail.udi.targetProfile | http://hl7.org/fhir/StructureDefinition/Device |
| Claim.item.detail.subDetail.type | http://hl7.org/fhir/StructureDefinition/BackboneElement |
| Claim.item.detail.subDetail.sequence.type | http://hl7.org/fhir/StructureDefinition/positiveInt |
| Claim.item.detail.subDetail.traceNumber.type | http://hl7.org/fhir/StructureDefinition/Identifier |
| Claim.item.detail.subDetail.revenue.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.subDetail.revenue.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-revenue-center |
| Claim.item.detail.subDetail.category.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.subDetail.category.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-benefitcategory |
| Claim.item.detail.subDetail.productOrService.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.subDetail.productOrService.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| Claim.item.detail.subDetail.productOrServiceEnd.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.subDetail.productOrServiceEnd.binding.valueSet | http://hl7.org/fhir/ValueSet/service-uscls |
| Claim.item.detail.subDetail.modifier.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.subDetail.modifier.binding.valueSet | http://hl7.org/fhir/ValueSet/claim-modifiers |
| Claim.item.detail.subDetail.programCode.type | http://hl7.org/fhir/StructureDefinition/CodeableConcept |
| Claim.item.detail.subDetail.programCode.binding.valueSet | http://hl7.org/fhir/ValueSet/ex-program-code |
| Claim.item.detail.subDetail.patientPaid.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.subDetail.quantity.type | http://hl7.org/fhir/StructureDefinition/Quantity |
| Claim.item.detail.subDetail.quantity.profile | http://hl7.org/fhir/StructureDefinition/SimpleQuantity |
| Claim.item.detail.subDetail.unitPrice.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.subDetail.factor.type | http://hl7.org/fhir/StructureDefinition/decimal |
| Claim.item.detail.subDetail.tax.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.subDetail.net.type | http://hl7.org/fhir/StructureDefinition/Money |
| Claim.item.detail.subDetail.udi.type | http://hl7.org/fhir/StructureDefinition/Reference |
| Claim.item.detail.subDetail.udi.targetProfile | http://hl7.org/fhir/StructureDefinition/Device |
| Claim.total.type | http://hl7.org/fhir/StructureDefinition/Money |