description: null
package_name: hl7.fhir.us.davinci
derivation: constraint
name: PASClaim
type: Claim
elements:
  patient: {mustSupport: true, index: 6}
  insurance:
    mustSupport: true
    index: 98
    elements:
      sequence:
        type: positiveInt
        mustSupport: true
        pattern: {type: Integer, value: 1}
        index: 99
      focal:
        type: boolean
        mustSupport: true
        pattern: {type: Boolean, value: true}
        index: 100
      coverage:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage']
        index: 101
  facility:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-location']
    index: 15
  diagnosis:
    mustSupport: true
    index: 95
    elements:
      sequence: {mustSupport: true, index: 96}
      diagnosisReference:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-condition']
        index: 97
  supportingInfo:
    mustSupport: true
    index: 16
    elements:
      sequence: {mustSupport: true, index: 17}
      category:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pas/ValueSet/PASSupportingInfoType'}
        mustSupport: true
        index: 18
    slicing:
      rules: open
      discriminator:
      - {path: category, type: pattern}
      min: null
      slices:
        AdmissionReview:
          match:
            category:
              coding:
              - {code: admissionReview, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 76
            elements:
              sequence: {mustSupport: true, index: 77}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: admissionReview, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 78
              timing:
                mustSupport: true
                choices: [timingPeriod]
                index: 80
              timingPeriod: {type: Period, mustSupport: true, choiceOf: timing, index: 81}
        DelayReason:
          match:
            category:
              coding:
              - {code: delayReason, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 44
            elements:
              sequence: {mustSupport: true, index: 45}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: delayReason, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 46
              value:
                mustSupport: true
                choices: [valueString]
                index: 48
              valueString: {type: string, mustSupport: true, choiceOf: value, index: 49}
        FreeFormMessage:
          match:
            category:
              coding:
              - {code: freeFormMessage, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 89
            elements:
              sequence: {mustSupport: true, index: 90}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: freeFormMessage, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 91
              value:
                mustSupport: true
                choices: [valueString]
                index: 93
              valueString: {type: string, mustSupport: true, choiceOf: value, index: 94}
        AdditionalInformation:
          match:
            category:
              coding:
              - {code: additionalInformation, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 82
            elements:
              sequence: {mustSupport: true, index: 83}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: additionalInformation, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 84
              code: {mustSupport: true, index: 85}
              value:
                mustSupport: true
                choices: [valueReference]
                index: 87
              valueReference:
                type: Reference
                mustSupport: true
                choiceOf: value
                refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-documentreference']
                index: 88
        EstimatedBirthDate:
          match:
            category:
              coding:
              - {code: estimatedBirthDate, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 56
            elements:
              sequence: {mustSupport: true, index: 57}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: estimatedBirthDate, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 58
              timing:
                mustSupport: true
                choices: [timingDate]
                index: 60
              timingDate: {type: date, mustSupport: true, choiceOf: timing, index: 61}
        OnsetOfSymptoms:
          match:
            category:
              coding:
              - {code: onsetOfSymptoms, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 62
            elements:
              sequence: {mustSupport: true, index: 63}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: onsetOfSymptoms, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 64
              timing:
                mustSupport: true
                choices: [timingDate, timingPeriod]
                index: 66
              timingDate: {type: date, mustSupport: true, choiceOf: timing, index: 67}
              timingPeriod: {type: Period, mustSupport: true, choiceOf: timing, index: 68}
        RelatedCauses:
          match:
            category:
              coding:
              - {code: relatedCauses, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 19
            elements:
              sequence: {mustSupport: true, index: 20}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: relatedCauses, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 21
              code: {mustSupport: true, index: 22}
              value:
                mustSupport: true
                choices: [valueString]
                index: 24
              valueString: {type: string, mustSupport: true, choiceOf: value, index: 25}
        PatientPrognosis:
          match:
            category:
              coding:
              - {code: patientPrognosis, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 32
            elements:
              sequence: {mustSupport: true, index: 33}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: patientPrognosis, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 34
              value:
                mustSupport: true
                choices: [valueString]
                index: 36
              valueString: {type: string, mustSupport: true, choiceOf: value, index: 37}
        ReleaseOfInformation:
          match:
            category:
              coding:
              - {code: releaseOfInformation, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 38
            elements:
              sequence: {mustSupport: true, index: 39}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: releaseOfInformation, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 40
              value:
                mustSupport: true
                choices: [valueString]
                index: 42
              valueString: {type: string, mustSupport: true, choiceOf: value, index: 43}
        PatientEvent:
          match:
            category:
              coding:
              - {code: patientEvent, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 69
            elements:
              sequence: {mustSupport: true, index: 70}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: patientEvent, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 71
              timing:
                mustSupport: true
                choices: [timingDate, timingPeriod]
                index: 73
              timingDate: {type: date, mustSupport: true, choiceOf: timing, index: 74}
              timingPeriod: {type: Period, mustSupport: true, choiceOf: timing, index: 75}
        LastMenstrualPeriod:
          match:
            category:
              coding:
              - {code: lastMenstrualPeriod, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 50
            elements:
              sequence: {mustSupport: true, index: 51}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: lastMenstrualPeriod, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 52
              timing:
                mustSupport: true
                choices: [timingDate]
                index: 54
              timingDate: {type: date, mustSupport: true, choiceOf: timing, index: 55}
        CurrentHealthCondition:
          match:
            category:
              coding:
              - {code: currentHealthCondition, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
          schema:
            mustSupport: true
            index: 26
            elements:
              sequence: {mustSupport: true, index: 27}
              category:
                type: CodeableConcept
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: currentHealthCondition, system: 'http://hl7.org/us/davinci-pas/CodeSystem/PASSupportingInfoType'}
                index: 28
              value:
                mustSupport: true
                choices: [valueString]
                index: 30
              valueString: {type: string, mustSupport: true, choiceOf: value, index: 31}
  use:
    type: code
    pattern: {type: Code, value: preauthorization}
    mustSupport: true
    index: 4
    extensions:
      CertificationType: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType', type: Extension, mustSupport: true, index: 5}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType
        index: 5
        slicing:
          slices:
            CertificationType:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType', index: 5}
  item:
    mustSupport: true
    index: 104
    extensions:
      ItemRequestedService: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', type: Extension, mustSupport: true, index: 105}
    elements:
      category: {mustSupport: true, index: 110}
      diagnosisSequence: {mustSupport: true, index: 107}
      revenue: {mustSupport: true, index: 109}
      productOrService: {mustSupport: true, index: 111}
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService
        index: 105
        slicing:
          slices:
            ItemRequestedService:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', index: 105}
      locationReference:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-location']
        index: 112
      informationSequence: {mustSupport: true, index: 108}
      sequence: {mustSupport: true, index: 106}
      detail:
        mustSupport: true
        index: 113
        elements:
          sequence: {mustSupport: true, index: 114}
          revenue: {mustSupport: true, index: 115}
          productOrService: {mustSupport: true, index: 116}
          quantity: {mustSupport: true, index: 117}
          unitPrice: {mustSupport: true, index: 118}
  type: {mustSupport: true, index: 3}
  created: {mustSupport: true, index: 7}
  related:
    mustSupport: true
    index: 11
    elements:
      reference: {mustSupport: true, index: 12}
  extension:
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-institutionalEncounter
    index: 0
    slicing:
      slices:
        InstitutionalEncounter:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-institutionalEncounter', index: 0}
          min: 0
          max: 1
  insurer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization-umo']
    index: 8
  priority: {mustSupport: true, index: 10}
  accident:
    mustSupport: true
    index: 102
    elements:
      date: {mustSupport: true, index: 103}
  status: {mustSupport: true, index: 2}
  prescription:
    mustSupport: true
    index: 13
    extensions:
      RequestedService: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', type: Extension, mustSupport: true, index: 14}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService
        index: 14
        slicing:
          slices:
            RequestedService:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', index: 14}
  identifier: {mustSupport: true, index: 1}
  provider:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization-requestor', 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practrole-requestor']
    index: 9
package_version: pas-0.1.0
extensions:
  InstitutionalEncounter: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-institutionalEncounter', min: 0, max: 1, type: Extension, mustSupport: true, index: 0}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim
base: http://hl7.org/fhir/StructureDefinition/Claim
version: 0.1.0
required: [insurance, use]