description: 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.
package_name: fhir.r4.spirecore
derivation: constraint
name: SpireCoreClaim
type: Claim
elements:
  patient:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient']
    index: 1
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 2
  insurance:
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 41
      coverage:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Coverage', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Coverage']
        index: 42
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 43
      claimResponse:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/ClaimResponse', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClaimResponse']
        index: 44
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 45
  facility:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location']
    index: 20
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 21
  diagnosis:
    elements:
      diagnosis:
        choices: [diagnosisCodeableConcept, diagnosisReference]
        index: 32
      diagnosisCodeableConcept: {type: CodeableConcept, choiceOf: diagnosis, index: 33}
      diagnosisReference:
        type: Reference
        choiceOf: diagnosis
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition']
        index: 34
  enterer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
    index: 3
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 4
  supportingInfo:
    elements:
      value:
        choices: [valueBoolean, valueString, valueQuantity, valueAttachment, valueReference]
        index: 25
      valueBoolean: {type: boolean, choiceOf: value, index: 26}
      valueString: {type: string, choiceOf: value, index: 27}
      valueQuantity: {type: Quantity, choiceOf: value, index: 28}
      valueAttachment: {type: Attachment, choiceOf: value, index: 29}
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['http://hl7.org/fhir/StructureDefinition/Resource', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Resource']
        index: 30
  item:
    elements:
      location:
        choices: [locationCodeableConcept, locationAddress, locationReference]
        index: 51
      locationCodeableConcept: {type: CodeableConcept, choiceOf: location, index: 52}
      locationAddress: {type: Address, choiceOf: location, index: 53}
      locationReference:
        type: Reference
        choiceOf: location
        refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location']
        index: 54
      udi:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
        index: 55
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 56
      encounter:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter']
        index: 57
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 58
      detail:
        elements:
          udi:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
            index: 59
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 60
          subDetail:
            elements:
              udi:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
                index: 61
                elements:
                  identifier:
                    elements:
                      assigner:
                        type: Reference
                        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                        index: 62
  procedure:
    elements:
      procedure:
        choices: [procedureCodeableConcept, procedureReference]
        index: 36
      procedureCodeableConcept: {type: CodeableConcept, choiceOf: procedure, index: 37}
      procedureReference:
        type: Reference
        choiceOf: procedure
        refers: ['http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
        index: 38
      udi:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
        index: 39
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 40
  related:
    elements:
      claim:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Claim', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Claim']
        index: 9
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 10
      reference:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 11
  referral:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ServiceRequest']
    index: 18
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 19
  insurer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
    index: 5
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 6
  accident:
    elements:
      location:
        choices: [locationAddress, locationReference]
        index: 47
      locationAddress: {type: Address, choiceOf: location, index: 48}
      locationReference:
        type: Reference
        choiceOf: location
        refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location']
        index: 49
  payee:
    elements:
      party:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
        index: 16
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 17
  prescription:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/VisionPrescription', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DeviceRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-VisionPrescription']
    index: 12
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 13
  identifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 0
  provider:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
    index: 7
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 8
  originalPrescription:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/VisionPrescription', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DeviceRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-VisionPrescription']
    index: 14
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 15
  careTeam:
    elements:
      provider:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
        index: 22
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 23
package_version: 0.1.0-alpha
class: profile
kind: resource
url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Claim
base: http://hl7.org/fhir/StructureDefinition/Claim
version: null