description: 'Uzbekistan Core Claim profile, used for insurance claims, pre-authorization and predetermination processes. '
package_name: uz.dhp.core
derivation: constraint
name: UZCoreClaim
type: Claim
elements:
  patient:
    type: Reference
    mustSupport: true
    refers: ['https://dhp.uz/fhir/core/StructureDefinition/uz-core-patient|0.8.0']
    index: 4
  insurance:
    mustSupport: true
    index: 14
    elements:
      focal: {mustSupport: true, index: 15}
      coverage: {mustSupport: true, index: 16}
  facility:
    type: Reference
    mustSupport: true
    refers: ['https://dhp.uz/fhir/core/StructureDefinition/uz-core-location|0.8.0', 'https://dhp.uz/fhir/core/StructureDefinition/uz-core-organization|0.8.0']
    index: 10
  diagnosis:
    mustSupport: true
    index: 11
    elements:
      diagnosis:
        mustSupport: true
        choices: []
        index: 13
  use:
    short: preauthorization | predetermination | claim
    binding: {strength: required, valueSet: 'https://terminology.dhp.uz/fhir/core/ValueSet/claim-use-vs|0.8.0'}
    mustSupport: true
    index: 3
  type:
    binding: {strength: required, valueSet: 'https://terminology.dhp.uz/fhir/core/ValueSet/claim-type-vs|0.8.0'}
    mustSupport: true
    index: 2
  created: {mustSupport: true, index: 5}
  referral: {mustSupport: true, index: 9}
  total:
    mustSupport: true
    index: 17
    elements:
      value: {mustSupport: true, index: 18}
      currency:
        short: ISO 4217 currency code
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/currencies|5.0.0'}
        mustSupport: true
        index: 19
  insurer:
    type: Reference
    mustSupport: true
    refers: ['https://dhp.uz/fhir/core/StructureDefinition/uz-core-organization|0.8.0']
    index: 6
  status:
    short: Status of current claim
    binding: {strength: required, valueSet: 'https://terminology.dhp.uz/fhir/core/ValueSet/fm-status-vs|0.8.0'}
    mustSupport: true
    index: 1
  prescription:
    type: Reference
    short: Refers to the reimbursement prescription.
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/MedicationRequest|5.0.0']
    index: 8
  identifier: {mustSupport: true, index: 0}
  provider:
    type: Reference
    mustSupport: true
    refers: ['https://dhp.uz/fhir/core/StructureDefinition/uz-core-organization|0.8.0']
    index: 7
package_version: 0.8.0
class: profile
kind: resource
url: https://dhp.uz/fhir/core/StructureDefinition/uz-core-claim
base: http://hl7.org/fhir/StructureDefinition/Claim|5.0.0
version: 0.8.0