Claim
type: StructureDefinition
node role: treeRoot
id:
  v: Claim
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition Claim Name Flags Card. Type Description & Constraints Claim 0..* DomainResource Claim identifier Σ 1..1 Identifier Identification key subject Σ 1..1 Reference(Patient) Patient subject reference status Σ 0..1 string Claim's status revCO Σ 0..1 string Revenue Code description Σ 0..1 string Description hippsCode Σ 0..1 string Health Insurance Prospective Payment System (HIPPS) Code serviceDate Σ 0..1 dateTime Date of service for the claim serviceUnits Σ 0..1 string Days amount for service units totalCharges Σ 0..1 Money Transaction amount nonCoveredCharges Σ 0..1 Money Amount not covered in the claim grandTotal Σ 0..1 Money Total amount for the claim payer Σ 0..1 string Payer name npi Σ 0..1 string NPI Number insuredName Σ 0..1 string Insure's name - combines Last name, First name, Middle name insuredUniqueId Σ 0..1 string Insurance policy number fedTaxNumber Σ 0..1 string Federal tax number use Σ 0..1 string Fixed as: Claim created Σ 0..1 dateTime Timestamp when the claim was created period Σ 0..1 OrgPeriod(5.2.0) The period for which charges are being submitted. careLevel Σ 0..1 string Code used for care level dailyRate Σ 0..1 string Amount used for daily rate Documentation for this format
url:
  v: https://ehi-export.pointclickcare.com//StructureDefinition/Claim
version:
  v: 0.1.0
name:
  v: EHIClaim
title:
  v: Claim
status:
  v: draft
date:
  v: 2025-04-11T19:03:38+00:00
publisher:
  v: PCC
contact:
  name:
    v: PCC
  telecom:
    system:
      v: url
    value:
      v: https://www.pointclickcare.com
  telecom:
    system:
      v: email
description:
  v: Insurance Claim for the patient. #### Notes The [***id***](StructureDefinition-Claim-definitions.html#Claim.id) element is not displayed in the snapshot tables. Refer to the [detailed descriptions](StructureDefinition-Claim-definitions.html) for the full definition.
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: Claim
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  link: http://hl7.org/fhir/StructureDefinition/DomainResource
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 4.0.1
  element:
    id:
      v: Claim
    path:
      v: Claim
    short:
      v: Claim
    definition:
      v: Insurance Claim for the patient. #### Notes The [***id***](StructureDefinition-Claim-definitions.html#Claim.id) element is not displayed in the snapshot tables. Refer to the [detailed descriptions](StructureDefinition-Claim-definitions.html) for the full definition.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: DomainResource
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
      expression:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      extension:
        value: boolean
      extension:
        value: markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: Entity. Role, or Act
  element:
    id:
      v: Claim.id
    path:
      v: Claim.id
    short:
      v: Logical id of this artifact
    definition:
      v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
    comment:
      v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Resource.id
      min:
        v: 0
      max:
        v: 1
    type:
      extension:
        value: url
      code:
        v: http://hl7.org/fhirpath/System.String
    is modifier:
      v: false
    is summary:
      v: true
  element:
    id:
      v: Claim.meta
    path:
      v: Claim.meta
    short:
      v: Metadata about the resource

boolean
v: true

markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

url
v: id

v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

v: 0

v: 1

path:
  v: Resource.meta
min:
  v: 0
max:
  v: 1

code:
  v: Meta

key:
  v: ele-1
severity:
  v: error
human:
  v: All FHIR elements must have a @value or children
expression:
  v: hasValue() or (children().count() > id.count())
xpath:
  v: @value|f:*|h:div
source:
  v: http://hl7.org/fhir/StructureDefinition/Element
  link: http://hl7.org/fhir/StructureDefinition/Element

v: false

v: true

id:
  v: Claim.implicitRules
path:
  v: Claim.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: Claim.language
path:
  v: Claim.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    value: canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages
    link: http://hl7.org/fhir/ValueSet/languages

id:
  v: Claim.text
path:
  v: Claim.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Claim.contained
path:
  v: Claim.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Claim.extension
path:
  v: Claim.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Claim.modifierExtension
path:
  v: Claim.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Claim.identifier
path:
  v: Claim.identifier
short:
  v: Identification key
definition:
  v: Identification key
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Claim.identifier
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Identifier
is summary:
  v: true

id:
  v: Claim.subject
path:
  v: Claim.subject
short:
  v: Patient subject reference
definition:
  v: Patient subject reference
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Claim.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: https://ehi-export.pointclickcare.com//StructureDefinition/patient
    link: https://ehi-export.pointclickcare.com//StructureDefinition/patient
is summary:
  v: true

id:
  v: Claim.status
path:
  v: Claim.status
short:
  v: Claim's status
definition:
  v: Claim's status
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.status
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.revCO
path:
  v: Claim.revCO
short:
  v: Revenue Code
definition:
  v: Revenue Code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.revCO
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.description
path:
  v: Claim.description
short:
  v: Description
definition:
  v: Description
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.hippsCode
path:
  v: Claim.hippsCode
short:
  v: Health Insurance Prospective Payment System (HIPPS) Code
definition:
  v: Health Insurance Prospective Payment System (HIPPS) Code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.hippsCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.serviceDate
path:
  v: Claim.serviceDate
short:
  v: Date of service for the claim
definition:
  v: Date of service for the claim
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.serviceDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
is summary:
  v: true

id:
  v: Claim.serviceUnits
path:
  v: Claim.serviceUnits
short:
  v: Days amount for service units
definition:
  v: Days amount for service units
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.serviceUnits
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.totalCharges
path:
  v: Claim.totalCharges
short:
  v: Transaction amount
definition:
  v: Transaction amount
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.totalCharges
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Money
is summary:
  v: true

id:
  v: Claim.nonCoveredCharges
path:
  v: Claim.nonCoveredCharges
short:
  v: Amount not covered in the claim
definition:
  v: Amount not covered in the claim
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.nonCoveredCharges
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Money
is summary:
  v: true

id:
  v: Claim.grandTotal
path:
  v: Claim.grandTotal
short:
  v: Total amount for the claim
definition:
  v: Total amount for the claim
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.grandTotal
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Money
is summary:
  v: true

id:
  v: Claim.payer
path:
  v: Claim.payer
short:
  v: Payer name
definition:
  v: Payer name
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.payer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.npi
path:
  v: Claim.npi
short:
  v: NPI Number
definition:
  v: NPI Number
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.npi
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.insuredName
path:
  v: Claim.insuredName
short:
  v: Insure's name - combines Last name, First name, Middle name
definition:
  v: Insure's name - combines Last name, First name, Middle name
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.insuredName
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.insuredUniqueId
path:
  v: Claim.insuredUniqueId
short:
  v: Insurance policy number
definition:
  v: Insurance policy number
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.insuredUniqueId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.fedTaxNumber
path:
  v: Claim.fedTaxNumber
short:
  v: Federal tax number
definition:
  v: Federal tax number
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.fedTaxNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.use
path:
  v: Claim.use
short:
  v: Fixed as: Claim
definition:
  v: Fixed as: Claim
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.created
path:
  v: Claim.created
short:
  v: Timestamp when the claim was created
definition:
  v: Timestamp when the claim was created
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.created
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
is summary:
  v: true

id:
  v: Claim.period
path:
  v: Claim.period
short:
  v: The period for which charges are being submitted.
definition:
  v: The period for which charges are being submitted.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/organization-period
    link: http://hl7.org/fhir/StructureDefinition/organization-period
is summary:
  v: true

id:
  v: Claim.careLevel
path:
  v: Claim.careLevel
short:
  v: Code used for care level
definition:
  v: Code used for care level
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.careLevel
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.dailyRate
path:
  v: Claim.dailyRate
short:
  v: Amount used for daily rate
definition:
  v: Amount used for daily rate
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Claim.dailyRate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
is summary:
  v: true

element:
  id:
    v: Claim
  path:
    v: Claim
  short:
    v: Claim
  definition:
    v: Insurance Claim for the patient. #### Notes The [***id***](StructureDefinition-Claim-definitions.html#Claim.id) element is not displayed in the snapshot tables. Refer to the [detailed descriptions](StructureDefinition-Claim-definitions.html) for the full definition.
element:
  id:
    v: Claim.identifier
  path:
    v: Claim.identifier
  short:
    v: Identification key
  definition:
    v: Identification key
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Identifier
  is summary:
    v: true
element:
  id:
    v: Claim.subject
  path:
    v: Claim.subject
  short:
    v: Patient subject reference
  definition:
    v: Patient subject reference
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Reference
    target profile:
      v: https://ehi-export.pointclickcare.com//StructureDefinition/patient
      link: https://ehi-export.pointclickcare.com//StructureDefinition/patient
  is summary:
    v: true
element:
  id:
    v: Claim.status
  path:
    v: Claim.status
  short:
    v: Claim's status
  definition:
    v: Claim's status
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
  is summary:
    v: true
element:
  id:
    v: Claim.revCO
  path:
    v: Claim.revCO
  short:
    v: Revenue Code
  definition:
    v: Revenue Code
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
  is summary:
    v: true
element:
  id:
    v: Claim.description
  path:
    v: Claim.description
  short:
    v: Description
  definition:
    v: Description
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
  is summary:
    v: true
element:
  id:
    v: Claim.hippsCode
  path:
    v: Claim.hippsCode
  short:
    v: Health Insurance Prospective Payment System (HIPPS) Code
  definition:
    v: Health Insurance Prospective Payment System (HIPPS) Code
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
  is summary:
    v: true
element:
  id:
    v: Claim.serviceDate
  path:
    v: Claim.serviceDate
  short:
    v: Date of service for the claim
  definition:
    v: Date of service for the claim
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: dateTime
  is summary:
    v: true
element:
  id:
    v: Claim.serviceUnits
  path:
    v: Claim.serviceUnits
  short:
    v: Days amount for service units
  definition:
    v: Days amount for service units
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
  is summary:
    v: true
element:
  id:
    v: Claim.totalCharges
  path:
    v: Claim.totalCharges
  short:
    v: Transaction amount
  definition:
    v: Transaction amount
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Money
  is summary:
    v: true
element:
  id:
    v: Claim.nonCoveredCharges
  path:
    v: Claim.nonCoveredCharges
  short:
    v: Amount not covered in the claim
  definition:
    v: Amount not covered in the claim
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Money
  is summary:
    v: true
element:
  id:
    v: Claim.grandTotal
  path:
    v: Claim.grandTotal
  short:
    v: Total amount for the claim
  definition:
    v: Total amount for the claim

v: 0

v: 1

code:
  v: Money

v: true

id:
  v: Claim.payer
path:
  v: Claim.payer
short:
  v: Payer name
definition:
  v: Payer name
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.npi
path:
  v: Claim.npi
short:
  v: NPI Number
definition:
  v: NPI Number
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.insuredName
path:
  v: Claim.insuredName
short:
  v: Insure's name - combines Last name, First name, Middle name
definition:
  v: Insure's name - combines Last name, First name, Middle name
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.insuredUniqueId
path:
  v: Claim.insuredUniqueId
short:
  v: Insurance policy number
definition:
  v: Insurance policy number
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.fedTaxNumber
path:
  v: Claim.fedTaxNumber
short:
  v: Federal tax number
definition:
  v: Federal tax number
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.use
path:
  v: Claim.use
short:
  v: Fixed as: Claim
definition:
  v: Fixed as: Claim
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.created
path:
  v: Claim.created
short:
  v: Timestamp when the claim was created
definition:
  v: Timestamp when the claim was created
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
is summary:
  v: true

id:
  v: Claim.period
path:
  v: Claim.period
short:
  v: The period for which charges are being submitted.
definition:
  v: The period for which charges are being submitted.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/organization-period
    link: http://hl7.org/fhir/StructureDefinition/organization-period
is summary:
  v: true

id:
  v: Claim.careLevel
path:
  v: Claim.careLevel
short:
  v: Code used for care level
definition:
  v: Code used for care level
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true

id:
  v: Claim.dailyRate
path:
  v: Claim.dailyRate
short:
  v: Amount used for daily rate
definition:
  v: Amount used for daily rate
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
is summary:
  v: true