{
  "description": "Proposed constraints and extensions on the Claim Resource",
  "_filename": "StructureDefinition-il-core-claim.json",
  "package_name": "il.core.fhir.r4",
  "date": "2021-05-02",
  "derivation": "constraint",
  "publisher": "Israeli Ministry of Health",
  "fhirVersion": "4.0.1",
  "name": "ILCoreClaim",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  } ],
  "abstract": false,
  "type": "Claim",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "ILCore Claim Profile",
  "package_version": "0.2.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
    "valueString": "Financial.Billing"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode": "patient"
  } ],
  "status": "draft",
  "language": "he-IL",
  "id": "f959c45f-3bb4-4e2b-aa25-c0a7e6e7a68d",
  "kind": "resource",
  "url": "http://fhir.health.org.il/StructureDefinition/il-core-claim",
  "version": "0.2.0",
  "differential": {
    "element": [ {
      "id": "Claim",
      "path": "Claim",
      "short": "ILCore Claim Profile",
      "definition": "Definitions for the profile-Claim resource profile.",
      "mustSupport": true
    }, {
      "id": "Claim.patient",
      "path": "Claim.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-patient" ]
      } ]
    }, {
      "id": "Claim.enterer",
      "path": "Claim.enterer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-practitioner", "http://fhir.health.org.il/StructureDefinition/il-core-practitionerRole" ]
      } ]
    }, {
      "id": "Claim.insurer",
      "path": "Claim.insurer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-organization" ]
      } ]
    }, {
      "id": "Claim.provider",
      "path": "Claim.provider",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-practitioner", "http://fhir.health.org.il/StructureDefinition/il-core-practitionerRole", "http://fhir.health.org.il/StructureDefinition/il-core-organization" ]
      } ]
    }, {
      "id": "Claim.related.claim",
      "path": "Claim.related.claim",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-claim" ]
      } ]
    }, {
      "id": "Claim.prescription",
      "path": "Claim.prescription",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DeviceRequest", "http://fhir.health.org.il/StructureDefinition/il-core-medication-request", "http://hl7.org/fhir/StructureDefinition/VisionPrescription" ]
      } ]
    }, {
      "id": "Claim.originalPrescription",
      "path": "Claim.originalPrescription",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DeviceRequest", "http://fhir.health.org.il/StructureDefinition/il-core-medication-request", "http://hl7.org/fhir/StructureDefinition/VisionPrescription" ]
      } ]
    }, {
      "id": "Claim.payee.party",
      "path": "Claim.payee.party",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-practitioner", "http://fhir.health.org.il/StructureDefinition/il-core-practitionerRole", "http://fhir.health.org.il/StructureDefinition/il-core-organization", "http://fhir.health.org.il/StructureDefinition/il-core-patient", "http://fhir.health.org.il/StructureDefinition/il-core-related-person" ]
      } ]
    }, {
      "id": "Claim.referral",
      "path": "Claim.referral",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-service-request" ]
      } ]
    }, {
      "id": "Claim.facility",
      "path": "Claim.facility",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-location" ]
      } ]
    }, {
      "id": "Claim.careTeam.provider",
      "path": "Claim.careTeam.provider",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-practitioner", "http://fhir.health.org.il/StructureDefinition/il-core-practitionerRole", "http://fhir.health.org.il/StructureDefinition/il-core-organization" ]
      } ]
    }, {
      "id": "Claim.diagnosis.diagnosisReference",
      "max": "1",
      "min": 0,
      "path": "Claim.diagnosis.diagnosisReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-condition" ]
      } ]
    }, {
      "id": "Claim.procedure.procedureReference",
      "max": "1",
      "min": 0,
      "path": "Claim.procedure.procedureReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-procedure" ]
      } ]
    }, {
      "id": "Claim.procedure.udi",
      "path": "Claim.procedure.udi",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-device" ]
      } ]
    }, {
      "id": "Claim.accident.locationReference",
      "max": "1",
      "min": 0,
      "path": "Claim.accident.locationReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-location" ]
      } ]
    }, {
      "id": "Claim.item.locationReference",
      "max": "1",
      "min": 0,
      "path": "Claim.item.locationReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-location" ]
      } ]
    }, {
      "id": "Claim.item.udi",
      "path": "Claim.item.udi",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-device" ]
      } ]
    }, {
      "id": "Claim.item.encounter",
      "path": "Claim.item.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-encounetr" ]
      } ]
    }, {
      "id": "Claim.item.detail.udi",
      "path": "Claim.item.detail.udi",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-device" ]
      } ]
    }, {
      "id": "Claim.item.detail.subDetail.udi",
      "path": "Claim.item.detail.subDetail.udi",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.org.il/StructureDefinition/il-core-device" ]
      } ]
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Claim"
}