description: Claim Resource profile for eLTSS
package_name: hl7.fhir.us.eltss.r4
derivation: constraint
name: Claim_eltss
type: Claim
elements:
  patient:
    type: Reference
    refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss']
    index: 2
  facility:
    type: Reference
    refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Location-eltss']
    index: 8
  diagnosis:
    elements:
      diagnosis:
        choices: []
        index: 11
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            diagnosisReference:
              match: {}
              schema:
                choices: [diagnosisReference]
                index: 13
              min: 0
              max: 1
      diagnosisReference:
        type: Reference
        choiceOf: diagnosis
        refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Condition-eltss']
        index: 14
        slicing:
          slices:
            diagnosisReference:
              match: {}
              schema:
                type: Reference
                choiceOf: diagnosis
                refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Condition-eltss']
                index: 14
              min: 0
              max: 1
  enterer:
    type: Reference
    refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss', 'http://hl7.org/fhir/us/eltss/StructureDefinition/PractitionerRole-eltss']
    index: 3
  item:
    mustSupport: true
    index: 20
    elements:
      unitPrice: {short: Service Rate per Unit name, mustSupport: true, index: 21}
      net: {short: Total Cost of Service, mustSupport: true, index: 22}
  related:
    elements:
      claim:
        type: Reference
        refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Claim-eltss']
        index: 5
  extension:
    label: Label
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        resource-pertainsToGoal:
          match: {url: null}
          schema: {type: Extension, short: 'The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.', mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal', index: 1}
          min: 0
  referral:
    type: Reference
    refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss']
    index: 7
  accident:
    elements:
      location:
        choices: []
        index: 16
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            locationReference:
              match: {}
              schema:
                choices: [locationReference]
                index: 18
              min: 0
              max: 1
      locationReference:
        type: Reference
        choiceOf: location
        refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Location-eltss']
        index: 19
        slicing:
          slices:
            locationReference:
              match: {}
              schema:
                type: Reference
                choiceOf: location
                refers: ['http://hl7.org/fhir/us/eltss/StructureDefinition/Location-eltss']
                index: 19
              min: 0
              max: 1
  payee:
    elements:
      party:
        type: Reference
        refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss', 'http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss', 'http://hl7.org/fhir/us/eltss/StructureDefinition/PractitionerRole-eltss', 'http://hl7.org/fhir/us/eltss/StructureDefinition/RelatedPerson-eltss']
        index: 6
  provider:
    type: Reference
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss', 'http://hl7.org/fhir/us/eltss/StructureDefinition/PractitionerRole-eltss']
    index: 4
  careTeam:
    elements:
      provider:
        type: Reference
        refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss', 'http://hl7.org/fhir/us/eltss/StructureDefinition/PractitionerRole-eltss']
        index: 9
package_version: 2.0.0-ballot
extensions:
  resource-pertainsToGoal: {url: 'http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal', min: 0, type: Extension, short: 'The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.', mustSupport: true, index: 1}
class: profile
kind: resource
url: http://hl7.org/fhir/us/eltss/StructureDefinition/Claim-eltss
base: http://hl7.org/fhir/StructureDefinition/Claim
version: 2.0.0-ballot