description: PAS constraints on Claim resource that are common to both the request and the inquiry.
package_name: hl7.fhir.us.davinci-pas
derivation: constraint
name: PASClaimBase
abstract: true
type: Claim
elements:
  patient:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary|2.2.0']
    index: 12
  insurance:
    mustSupport: true
    index: 80
    elements:
      sequence: {mustSupport: true, index: 81}
      focal:
        pattern: {type: Boolean, value: true}
        index: 82
      coverage:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage|2.2.0']
        index: 83
  diagnosis:
    mustSupport: true
    index: 74
    elements:
      sequence: {mustSupport: true, index: 75}
      diagnosis:
        mustSupport: true
        choices: [diagnosisCodeableConcept]
        index: 77
      diagnosisCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: diagnosis, index: 78}
      type:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278DiagnosisType|2.2.0'}
        mustSupport: true
        index: 79
  supportingInfo:
    mustSupport: true
    index: 36
    elements:
      sequence: {mustSupport: true, index: 37}
      category:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/davinci-pas/ValueSet/PASSupportingInfoType|2.2.0'}
        mustSupport: true
        index: 38
    slicing:
      rules: open
      description: Slice based on the different types of supporting information that can be included in a authorization request.
      discriminator:
      - {path: category, type: value}
      min: null
      slices:
        PatientEvent:
          match:
            category:
              coding:
              - {code: patientEvent, system: 'http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes'}
          schema:
            short: Information about the dates of the event that are being requested.
            mustSupport: true
            index: 39
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: patientEvent, system: 'http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes'}
                index: 40
              timing:
                mustSupport: true
                choices: [timingPeriod]
                index: 47
                slicing:
                  slices:
                    timingPeriod:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [timingPeriod]
                        index: 47
                      min: 0
                      max: 1
              timingDate:
                constraint:
                  FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                type: date
                mustSupport: true
                choiceOf: timing
                index: 45
                slicing:
                  slices:
                    timingDate:
                      match: {}
                      schema:
                        constraint:
                          FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                        type: date
                        mustSupport: true
                        choiceOf: timing
                        index: 45
                      min: 0
                      max: 1
              timingPeriod:
                type: Period
                mustSupport: true
                choiceOf: timing
                index: 48
                slicing:
                  slices:
                    timingPeriod:
                      match: {}
                      schema: {type: Period, mustSupport: true, choiceOf: timing, index: 48}
                      min: 0
                      max: 1
              timing[x]:
                elements:
                  start:
                    constraint:
                      FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                    mustSupport: true
                    index: 49
                  end:
                    constraint:
                      FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                    mustSupport: true
                    index: 50
              value:
                choices: []
                index: 52
            required: [timing]
        AdmissionDates:
          match:
            category:
              coding:
              - {code: admissionDates, system: 'http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes'}
          schema:
            short: Information about the admission dates of a hospital admission being requested.
            mustSupport: true
            index: 53
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: admissionDates, system: 'http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes'}
                index: 54
              timing:
                mustSupport: true
                choices: [timingPeriod]
                index: 61
                slicing:
                  slices:
                    timingPeriod:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [timingPeriod]
                        index: 61
                      min: 0
                      max: 1
              timingDate:
                constraint:
                  FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                type: date
                mustSupport: true
                choiceOf: timing
                index: 59
                slicing:
                  slices:
                    timingDate:
                      match: {}
                      schema:
                        constraint:
                          FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                        type: date
                        mustSupport: true
                        choiceOf: timing
                        index: 59
                      min: 0
                      max: 1
              timingPeriod:
                type: Period
                mustSupport: true
                choiceOf: timing
                index: 62
                slicing:
                  slices:
                    timingPeriod:
                      match: {}
                      schema: {type: Period, mustSupport: true, choiceOf: timing, index: 62}
                      min: 0
                      max: 1
              timing[x]:
                elements:
                  start:
                    constraint:
                      FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                    mustSupport: true
                    index: 63
                  end:
                    constraint:
                      FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                    mustSupport: true
                    index: 64
              value:
                choices: []
                index: 66
            required: [timing]
        DischargeDates:
          match:
            category:
              coding:
              - {code: dischargeDates, system: 'http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes'}
          schema:
            short: Information about the discharge dates of a hospital admission being requested.
            mustSupport: true
            index: 67
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: dischargeDates, system: 'http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes'}
                index: 68
              timing:
                constraint:
                  FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                mustSupport: true
                choices: [timingDate]
                index: 70
              timingDate:
                type: date
                constraint:
                  FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                mustSupport: true
                choiceOf: timing
                index: 71
              value:
                choices: []
                index: 73
            required: [timingDate, timing]
  use:
    mustSupport: true
    pattern: {type: Code, value: preauthorization}
    index: 11
  item:
    mustSupport: true
    index: 90
    extensions:
      itemTraceNumber: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber|2.2.0', min: 0, type: Extension, short: Uniquely identifies this claim item. (2000F-TRN), mustSupport: true, index: 92}
      authorizationNumber: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber|2.2.0', min: 0, max: 1, type: Extension, short: A string assigned by the UMO to an authorized review outcome associated with this service item., mustSupport: true, index: 93}
      administrationReferenceNumber: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber|2.2.0', min: 0, max: 1, type: Extension, short: A string assigned by the UMO to the original disallowed review outcome associated with this service item., mustSupport: true, index: 94}
      requestType: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType|2.2.0', min: 0, max: 1, type: Extension, short: A code that identifies the type of service being requested., mustSupport: true, index: 95}
      certificationType: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType|2.2.0', min: 0, max: 1, type: Extension, short: A code representing the type of certification being requested (UM02), mustSupport: true, index: 96}
      productOrServiceCodeEnd: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd|2.2.0', min: 0, max: 1, type: Extension, short: Used to provide the last code in a series of codes for the service being requested., mustSupport: true, index: 97}
    elements:
      category:
        binding: {strength: required, valueSet: 'https://valueset.x12.org/x217/005010/request/2000F/UM/1/03/00/1365'}
        mustSupport: true
        index: 103
      diagnosisSequence: {mustSupport: true, index: 100}
      modifier:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceModifierType|2.2.0'}
        mustSupport: true
        index: 105
      revenue:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pas/ValueSet/AHANUBCRevenueCodes|2.2.0'}
        mustSupport: true
        index: 102
      locationCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: location, index: 118}
      serviced:
        mustSupport: true
        choices: [servicedPeriod]
        index: 112
        slicing:
          slices:
            servicedPeriod:
              match: {}
              schema:
                mustSupport: true
                choices: [servicedPeriod]
                index: 112
              min: 0
              max: 1
      careTeamSequence: {mustSupport: true, index: 99}
      productOrService:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType|2.2.0'}
        mustSupport: true
        index: 104
      extension:
        index: 91
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            itemTraceNumber:
              match: {url: null}
              schema: {type: Extension, short: Uniquely identifies this claim item. (2000F-TRN), mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber|2.2.0', index: 92}
              min: 0
            authorizationNumber:
              match: {url: null}
              schema: {type: Extension, short: A string assigned by the UMO to an authorized review outcome associated with this service item., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber|2.2.0', index: 93}
              min: 0
              max: 1
            administrationReferenceNumber:
              match: {url: null}
              schema: {type: Extension, short: A string assigned by the UMO to the original disallowed review outcome associated with this service item., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber|2.2.0', index: 94}
              min: 0
              max: 1
            requestType:
              match: {url: null}
              schema: {type: Extension, short: A code that identifies the type of service being requested., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType|2.2.0', index: 95}
              min: 0
              max: 1
            certificationType:
              match: {url: null}
              schema: {type: Extension, short: A code representing the type of certification being requested (UM02), mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType|2.2.0', index: 96}
              min: 0
              max: 1
            productOrServiceCodeEnd:
              match: {url: null}
              schema: {type: Extension, short: Used to provide the last code in a series of codes for the service being requested., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd|2.2.0', index: 97}
              min: 0
              max: 1
      informationSequence: {mustSupport: true, index: 101}
      servicedDate:
        constraint:
          FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
        type: date
        mustSupport: true
        choiceOf: serviced
        index: 110
        slicing:
          slices:
            servicedDate:
              match: {}
              schema:
                constraint:
                  FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
                type: date
                mustSupport: true
                choiceOf: serviced
                index: 110
              min: 0
              max: 1
      sequence: {short: 'Sequence numbers SHALL stay the same across all instances of the Prior Authorization, eg the Claim, ClaimResponse, ClaimUpdate, ClaimUpdateResponse', mustSupport: true, index: 98}
      serviced[x]:
        elements:
          start:
            constraint:
              FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
            index: 114
          end:
            constraint:
              FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
            index: 115
      quantity: {type: Quantity, mustSupport: true, index: 119}
      location:
        mustSupport: true
        choices: [locationCodeableConcept]
        index: 117
      servicedPeriod:
        type: Period
        mustSupport: true
        choiceOf: serviced
        index: 113
        slicing:
          slices:
            servicedPeriod:
              match: {}
              schema: {type: Period, mustSupport: true, choiceOf: serviced, index: 113}
              min: 0
              max: 1
  type:
    short: This is used as a high-level mapping of the X12 UM03 field
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes'}
    index: 10
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        transmissionIdentifiers:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-TransmissionIdentifiers', index: 1}
          min: 0
          max: 1
        levelOfServiceType:
          match: {url: null}
          schema: {type: Extension, short: A code specifying the level of service being requested (UM06), mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode|2.2.0', index: 2}
          min: 0
          max: 1
        conditionCode:
          match: {url: null}
          schema: {type: Extension, short: Used to indicate condition codes for various requests for service., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode|2.2.0', index: 3}
          min: 0
        homeHealthCareInformation:
          match: {url: null}
          schema: {type: Extension, short: Used to provide required information about home health care services. (CR6), mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-homeHealthCareInformation|2.2.0', index: 4}
          min: 0
          max: 1
        authorizationNumber:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber|2.2.0', index: 5}
          min: 0
          max: 1
        administrationReferenceNumber:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber|2.2.0', index: 6}
          min: 0
          max: 1
  insurer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer|2.2.0']
    index: 13
  accident:
    mustSupport: true
    index: 84
    elements:
      date:
        constraint:
          FullDateRule: {human: Dates need to be a full date - YYYY-MM-DD, source: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0', severity: error, expression: $this.toString().length() = 10}
        mustSupport: true
        index: 85
      type:
        binding: {strength: required, valueSet: 'https://valueset.x12.org/x217/005010/request/2000E/UM/1/05/01/1362'}
        mustSupport: true
        index: 86
      location:
        mustSupport: true
        choices: [locationAddress]
        index: 88
      locationAddress: {type: Address, mustSupport: true, choiceOf: location, index: 89}
  status:
    short: This is fixed to active even if the CertificationType is indicating that the Claim is to be cancelled as it reflects that status of this instance and not the overall Claim
    mustSupport: true
    pattern: {type: Code, value: active}
    index: 9
  identifier:
    type: Identifier
    short: Business identifier for claim
    mustSupport: true
    index: 7
    elements:
      system: {short: 'SHOULD use a scheme of ''urn:trnorg:''', index: 8}
  provider:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole|2.2.0', 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor|2.2.0']
    index: 14
  careTeam:
    mustSupport: true
    index: 15
    extensions:
      careTeamClaimScope: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0', min: 1, max: 1, type: Extension, mustSupport: true, index: 17}
    elements:
      extension:
        index: 16
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            careTeamClaimScope:
              match: {url: null}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0', index: 17}
              min: 1
              max: 1
      sequence: {mustSupport: true, index: 18}
      provider:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization|2.2.0', 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole|2.2.0']
        index: 19
      role: {mustSupport: true, index: 20}
      qualification: {mustSupport: true, index: 21}
    required: [extension]
    slicing:
      rules: open
      description: Slice based on whether the care team member belongs to the overall claim or to an individual claim item.
      discriminator:
      - {path: 'extension(''http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope'').value.ofType(boolean)', type: value}
      min: null
      slices:
        OverallClaimMember:
          match:
            extension('http://hl7:
              org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope'):
                value: {ofType(boolean): null}
          schema:
            short: 'Care Team Providers that are applicable to all services being requested.  NOTE: Only the first 14 can be sent in the X12 Request.'
            mustSupport: true
            array: true
            index: 22
            extensions:
              careTeamClaimScope:
                url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0
                type: Extension
                mustSupport: true
                index: 24
                elements:
                  value:
                    mustSupport: true
                    pattern: {type: Boolean, value: true}
                    choices: []
                    index: 26
            elements:
              extension:
                index: 23
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: url, type: value}
                  min: 1
                  slices:
                    careTeamClaimScope:
                      match: {url: null}
                      schema:
                        type: Extension
                        mustSupport: true
                        url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0
                        index: 24
                        elements:
                          value:
                            mustSupport: true
                            pattern: {type: Boolean, value: true}
                            choices: []
                            index: 26
              role:
                binding: {strength: required, valueSet: 'https://valueset.x12.org/x217/005010/request/2010EA/NM1/1/01/00/98'}
                index: 27
              qualification:
                binding: {strength: required, valueSet: 'https://valueset.x12.org/x217/005010/request/2010EA/PRV/1/03/00/127'}
                index: 28
            required: [extension]
        ItemClaimMember:
          match:
            extension('http://hl7:
              org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope'):
                value: {ofType(boolean): null}
          schema:
            short: 'Care Team Providers that are applicable to a specific item (as referenced by that item).  NOTE: Only the first 10 can be sent in the X12 Request.'
            mustSupport: true
            array: true
            index: 29
            extensions:
              careTeamClaimScope:
                url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0
                type: Extension
                mustSupport: true
                index: 31
                elements:
                  value:
                    mustSupport: true
                    pattern: {type: Boolean, value: false}
                    choices: []
                    index: 33
            elements:
              extension:
                index: 30
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: url, type: value}
                  min: 1
                  slices:
                    careTeamClaimScope:
                      match: {url: null}
                      schema:
                        type: Extension
                        mustSupport: true
                        url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0
                        index: 31
                        elements:
                          value:
                            mustSupport: true
                            pattern: {type: Boolean, value: false}
                            choices: []
                            index: 33
              role:
                binding: {strength: required, valueSet: 'https://valueset.x12.org/x217/005010/request/2010F/NM1/1/01/00/98'}
                index: 34
              qualification:
                binding: {strength: required, valueSet: 'https://valueset.x12.org/x217/005010/request/2010F/PRV/1/03/00/127'}
                index: 35
            required: [extension]
package_version: 2.2.0
extensions:
  transmissionIdentifiers: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-TransmissionIdentifiers', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
  levelOfServiceType: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode|2.2.0', min: 0, max: 1, type: Extension, short: A code specifying the level of service being requested (UM06), mustSupport: true, index: 2}
  conditionCode: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode|2.2.0', min: 0, type: Extension, short: Used to indicate condition codes for various requests for service., mustSupport: true, index: 3}
  homeHealthCareInformation: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-homeHealthCareInformation|2.2.0', min: 0, max: 1, type: Extension, short: Used to provide required information about home health care services. (CR6), mustSupport: true, index: 4}
  authorizationNumber: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber|2.2.0', min: 0, max: 1, type: Extension, mustSupport: true, index: 5}
  administrationReferenceNumber: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber|2.2.0', min: 0, max: 1, type: Extension, mustSupport: true, index: 6}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base
base: http://hl7.org/fhir/StructureDefinition/Claim
version: 2.2.0
required: [insurer]