Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.3 - release

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: NZ Pharmacy Claim

Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/NzPharmacyClaim | Version: 0.0.1
Draft as of 2025-11-25 | Computable Name: NzPharmacyClaim

A FHIR resource profile for NZ Pharmacy Claims, including extensions for patient cohort and claimant information.

This profile is used to represent pharmacy claims in New Zealand, including patient cohort information and claimant details.

Usages:

- Examples for this Profile: Claim/NzPharmacyClaimExample2

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | Claim | Claim, Pre-determination or Pre-authorization
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientCohort |  | 0..1 | CodeableConcept | Patient Cohort URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort Binding: Patient Cohort ValueSet (required)
extension:claimantNumber |  | 0..1 | string | Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
extension:originatingClaimantNumber |  | 0..1 | string | Originating Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
created | Σ | 1..1 | dateTime | Resource creation date
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the claim
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
supportingInfo |  | 1..* | BackboneElement | Supporting information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Information instance identifier
category |  | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
insurance | Σ | 1..1 | BackboneElement | Patient insurance information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
item |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientFlag |  | 0..1 | boolean | Patient Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
extension:prescriberFlag |  | 0..1 | boolean | Prescriber Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
extension:prescriptionFlag |  | 0..1 | boolean | Prescription Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
extension:doseFlag |  | 0..1 | boolean | Dose Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
extension:groupId |  | 0..1 | string | Group ID URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
Slices for serviced[x] |  | 1..1 | date | Date or dates of service or product delivery Slice: Unordered, Closed by type:$this
serviced[x]:servicedDate |  | 1..1 | date | Date or dates of service or product delivery
detail |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:balanceOwing |  | 0..1 | string | Balance Owing URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
extension:wastageQuantity |  | 0..1 | Quantity | Wastage Quantity URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
extension:cbsSubsidy |  | 0..1 | Money | CBS Subsidy URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
extension:cbsPackSize |  | 0..1 | Quantity | CBS Pack Size URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
quantity |  | 1..1 | SimpleQuantity | Count of products or services
net |  | 1..1 | Money | Total item cost
total |  | 1..1 | Money | Total claim cost
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Claim.status | required | FinancialResourceStatusCodes `http://hl7.org/fhir/ValueSet/fm-status|4.0.1` From the FHIR Standard
Claim.type | extensible | ClaimTypeCodes `http://hl7.org/fhir/ValueSet/claim-type` From the FHIR Standard
Claim.use | required | Use `http://hl7.org/fhir/ValueSet/claim-use|4.0.1` From the FHIR Standard
Claim.priority | example | ProcessPriorityCodes `http://hl7.org/fhir/ValueSet/process-priority` From the FHIR Standard
Claim.supportingInfo.category | example | ClaimInformationCategoryCodes `http://hl7.org/fhir/ValueSet/claim-informationcategory` From the FHIR Standard
Claim.item.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.detail.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Claim | 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 : 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() |
dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Claim | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Claim

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | Claim | Claim, Pre-determination or Pre-authorization
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientCohort |  | 0..1 | CodeableConcept | Patient Cohort URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort Binding: Patient Cohort ValueSet (required)
extension:claimantNumber |  | 0..1 | string | Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
extension:originatingClaimantNumber |  | 0..1 | string | Originating Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
supportingInfo |  | 1..* | BackboneElement | Supporting information
insurance |  | 1..1 | BackboneElement | Patient insurance information
item |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientFlag |  | 0..1 | boolean | Patient Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
extension:prescriberFlag |  | 0..1 | boolean | Prescriber Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
extension:prescriptionFlag |  | 0..1 | boolean | Prescription Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
extension:doseFlag |  | 0..1 | boolean | Dose Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
extension:groupId |  | 0..1 | string | Group ID URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
Slices for serviced[x] |  | 1..1 | date | Date or dates of service or product delivery Slice: Unordered, Open by type:$this
serviced[x]:servicedDate |  | 1..1 | date | Date or dates of service or product delivery
detail |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:balanceOwing |  | 0..1 | string | Balance Owing URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
extension:wastageQuantity |  | 0..1 | Quantity | Wastage Quantity URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
extension:cbsSubsidy |  | 0..1 | Money | CBS Subsidy URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
extension:cbsPackSize |  | 0..1 | Quantity | CBS Pack Size URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize
quantity |  | 1..1 | SimpleQuantity | Count of products or services
net |  | 1..1 | Money | Total item cost
total |  | 1..1 | Money | Total claim cost
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | Claim | Claim, Pre-determination or Pre-authorization
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientCohort |  | 0..1 | CodeableConcept | Patient Cohort URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort Binding: Patient Cohort ValueSet (required)
extension:claimantNumber |  | 0..1 | string | Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
extension:originatingClaimantNumber |  | 0..1 | string | Originating Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business Identifier for claim
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
subType |  | 0..1 | CodeableConcept | More granular claim type Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
billablePeriod | Σ | 0..1 | Period | Relevant time frame for the claim
created | Σ | 1..1 | dateTime | Resource creation date
enterer |  | 0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim
insurer | Σ | 0..1 | Reference(Organization) | Target
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the claim
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
fundsReserve |  | 0..1 | CodeableConcept | For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related |  | 0..* | BackboneElement | Prior or corollary claims
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
claim |  | 0..1 | Reference(Claim) | Reference to the related claim
relationship |  | 0..1 | CodeableConcept | How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference |  | 0..1 | Identifier | File or case reference
prescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products
originalPrescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller
payee |  | 0..1 | BackboneElement | Recipient of benefits payable
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference
referral |  | 0..1 | Reference(ServiceRequest) | Treatment referral
facility |  | 0..1 | Reference(Location) | Servicing facility
careTeam |  | 0..* | BackboneElement | Members of the care team
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Order of care team
provider |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization
responsible |  | 0..1 | boolean | Indicator of the lead practitioner
role |  | 0..1 | CodeableConcept | Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification |  | 0..1 | CodeableConcept | Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
supportingInfo |  | 1..* | BackboneElement | Supporting information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Information instance identifier
category |  | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
code |  | 0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x] |  | 0..1 |  | When it occurred
timingDate |  |  | date |
timingPeriod |  |  | Period |
value[x] |  | 0..1 |  | Data to be provided
valueBoolean |  |  | boolean |
valueString |  |  | string |
valueQuantity |  |  | Quantity |
valueAttachment |  |  | Attachment |
valueReference |  |  | Reference(Resource) |
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis |  | 0..* | BackboneElement | Pertinent diagnosis information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 |  | Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept |  |  | CodeableConcept |
diagnosisReference |  |  | Reference(Condition) |
type |  | 0..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure |  | 0..* | BackboneElement | Clinical procedures performed
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Procedure instance identifier
type |  | 0..* | CodeableConcept | Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date |  | 0..1 | dateTime | When the procedure was performed
procedure[x] |  | 1..1 |  | Specific clinical procedure Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept |  |  | CodeableConcept |
procedureReference |  |  | Reference(Procedure) |
udi |  | 0..* | Reference(Device) | Unique device identifier
insurance | Σ | 1..1 | BackboneElement | Patient insurance information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication
identifier |  | 0..1 | Identifier | Pre-assigned Claim number
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
businessArrangement |  | 0..1 | string | Additional provider contract number
preAuthRef |  | 0..* | string | Prior authorization reference number
claimResponse |  | 0..1 | Reference(ClaimResponse) | Adjudication results
accident |  | 0..1 | BackboneElement | Details of the event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
date |  | 1..1 | date | When the incident occurred
type |  | 0..1 | CodeableConcept | The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x] |  | 0..1 |  | Where the event occurred
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
item |  | 1..* | BackboneElement | Product or service provided
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientFlag |  | 0..1 | boolean | Patient Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
extension:prescriberFlag |  | 0..1 | boolean | Prescriber Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
extension:prescriptionFlag |  | 0..1 | boolean | Prescription Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
extension:doseFlag |  | 0..1 | boolean | Dose Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
extension:groupId |  | 0..1 | string | Group ID URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Slices for serviced[x] |  | 1..1 | date | Date or dates of service or product delivery Slice: Unordered, Closed by type:$this
serviced[x]:servicedDate |  | 1..1 | date | Date or dates of service or product delivery
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 1..* | BackboneElement | Product or service provided
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:balanceOwing |  | 0..1 | string | Balance Owing URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
extension:wastageQuantity |  | 0..1 | Quantity | Wastage Quantity URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
extension:cbsSubsidy |  | 0..1 | Money | CBS Subsidy URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
extension:cbsPackSize |  | 0..1 | Quantity | CBS Pack Size URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 1..1 | SimpleQuantity | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 1..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
total |  | 1..1 | Money | Total claim cost
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Claim.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Claim.status | required | FinancialResourceStatusCodes `http://hl7.org/fhir/ValueSet/fm-status|4.0.1` From the FHIR Standard
Claim.type | extensible | ClaimTypeCodes `http://hl7.org/fhir/ValueSet/claim-type` From the FHIR Standard
Claim.subType | example | ExampleClaimSubTypeCodes `http://hl7.org/fhir/ValueSet/claim-subtype` From the FHIR Standard
Claim.use | required | Use `http://hl7.org/fhir/ValueSet/claim-use|4.0.1` From the FHIR Standard
Claim.priority | example | ProcessPriorityCodes `http://hl7.org/fhir/ValueSet/process-priority` From the FHIR Standard
Claim.fundsReserve | example | Funds Reservation Codes `http://hl7.org/fhir/ValueSet/fundsreserve` From the FHIR Standard
Claim.related.relationship | example | ExampleRelatedClaimRelationshipCodes `http://hl7.org/fhir/ValueSet/related-claim-relationship` From the FHIR Standard
Claim.payee.type | example | Claim Payee Type Codes `http://hl7.org/fhir/ValueSet/payeetype` From the FHIR Standard
Claim.careTeam.role | example | ClaimCareTeamRoleCodes `http://hl7.org/fhir/ValueSet/claim-careteamrole` From the FHIR Standard
Claim.careTeam.qualification | example | ExampleProviderQualificationCodes `http://hl7.org/fhir/ValueSet/provider-qualification` From the FHIR Standard
Claim.supportingInfo.category | example | ClaimInformationCategoryCodes `http://hl7.org/fhir/ValueSet/claim-informationcategory` From the FHIR Standard
Claim.supportingInfo.code | example | ExceptionCodes `http://hl7.org/fhir/ValueSet/claim-exception` From the FHIR Standard
Claim.supportingInfo.reason | example | MissingToothReasonCodes `http://hl7.org/fhir/ValueSet/missing-tooth-reason` From the FHIR Standard
Claim.diagnosis.diagnosis[x] | example | ICD-10Codes `http://hl7.org/fhir/ValueSet/icd-10` From the FHIR Standard
Claim.diagnosis.type | example | ExampleDiagnosisTypeCodes `http://hl7.org/fhir/ValueSet/ex-diagnosistype` From the FHIR Standard
Claim.diagnosis.onAdmission | example | ExampleDiagnosisOnAdmissionCodes `http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission` From the FHIR Standard
Claim.diagnosis.packageCode | example | ExampleDiagnosisRelatedGroupCodes `http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup` From the FHIR Standard
Claim.procedure.type | example | ExampleProcedureTypeCodes `http://hl7.org/fhir/ValueSet/ex-procedure-type` From the FHIR Standard
Claim.procedure.procedure[x] | example | ICD-10ProcedureCodes `http://hl7.org/fhir/ValueSet/icd-10-procedures` From the FHIR Standard
Claim.accident.type | extensible | ActIncidentCode `http://terminology.hl7.org/ValueSet/v3-ActIncidentCode`
Claim.item.revenue | example | ExampleRevenueCenterCodes `http://hl7.org/fhir/ValueSet/ex-revenue-center` From the FHIR Standard
Claim.item.category | example | BenefitCategoryCodes `http://hl7.org/fhir/ValueSet/ex-benefitcategory` From the FHIR Standard
Claim.item.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.modifier | example | ModifierTypeCodes `http://hl7.org/fhir/ValueSet/claim-modifiers` From the FHIR Standard
Claim.item.programCode | example | ExampleProgramReasonCodes `http://hl7.org/fhir/ValueSet/ex-program-code` From the FHIR Standard
Claim.item.location[x] | example | ExampleServicePlaceCodes `http://hl7.org/fhir/ValueSet/service-place` From the FHIR Standard
Claim.item.bodySite | example | OralSiteCodes `http://hl7.org/fhir/ValueSet/tooth` From the FHIR Standard
Claim.item.subSite | example | SurfaceCodes `http://hl7.org/fhir/ValueSet/surface` From the FHIR Standard
Claim.item.detail.revenue | example | ExampleRevenueCenterCodes `http://hl7.org/fhir/ValueSet/ex-revenue-center` From the FHIR Standard
Claim.item.detail.category | example | BenefitCategoryCodes `http://hl7.org/fhir/ValueSet/ex-benefitcategory` From the FHIR Standard
Claim.item.detail.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.detail.modifier | example | ModifierTypeCodes `http://hl7.org/fhir/ValueSet/claim-modifiers` From the FHIR Standard
Claim.item.detail.programCode | example | ExampleProgramReasonCodes `http://hl7.org/fhir/ValueSet/ex-program-code` From the FHIR Standard
Claim.item.detail.subDetail.revenue | example | ExampleRevenueCenterCodes `http://hl7.org/fhir/ValueSet/ex-revenue-center` From the FHIR Standard
Claim.item.detail.subDetail.category | example | BenefitCategoryCodes `http://hl7.org/fhir/ValueSet/ex-benefitcategory` From the FHIR Standard
Claim.item.detail.subDetail.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.detail.subDetail.modifier | example | ModifierTypeCodes `http://hl7.org/fhir/ValueSet/claim-modifiers` From the FHIR Standard
Claim.item.detail.subDetail.programCode | example | ExampleProgramReasonCodes `http://hl7.org/fhir/ValueSet/ex-program-code` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Claim | 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 : 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() |
dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Claim | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Claim

Summary

Mandatory: 8 elements

Extensions

This structure refers to these extensions:

- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Claim.item.serviced[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | Claim | Claim, Pre-determination or Pre-authorization
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientCohort |  | 0..1 | CodeableConcept | Patient Cohort URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort Binding: Patient Cohort ValueSet (required)
extension:claimantNumber |  | 0..1 | string | Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
extension:originatingClaimantNumber |  | 0..1 | string | Originating Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
created | Σ | 1..1 | dateTime | Resource creation date
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the claim
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
supportingInfo |  | 1..* | BackboneElement | Supporting information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Information instance identifier
category |  | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
insurance | Σ | 1..1 | BackboneElement | Patient insurance information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
item |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientFlag |  | 0..1 | boolean | Patient Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
extension:prescriberFlag |  | 0..1 | boolean | Prescriber Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
extension:prescriptionFlag |  | 0..1 | boolean | Prescription Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
extension:doseFlag |  | 0..1 | boolean | Dose Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
extension:groupId |  | 0..1 | string | Group ID URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
Slices for serviced[x] |  | 1..1 | date | Date or dates of service or product delivery Slice: Unordered, Closed by type:$this
serviced[x]:servicedDate |  | 1..1 | date | Date or dates of service or product delivery
detail |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:balanceOwing |  | 0..1 | string | Balance Owing URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
extension:wastageQuantity |  | 0..1 | Quantity | Wastage Quantity URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
extension:cbsSubsidy |  | 0..1 | Money | CBS Subsidy URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
extension:cbsPackSize |  | 0..1 | Quantity | CBS Pack Size URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
quantity |  | 1..1 | SimpleQuantity | Count of products or services
net |  | 1..1 | Money | Total item cost
total |  | 1..1 | Money | Total claim cost
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Claim.status | required | FinancialResourceStatusCodes `http://hl7.org/fhir/ValueSet/fm-status|4.0.1` From the FHIR Standard
Claim.type | extensible | ClaimTypeCodes `http://hl7.org/fhir/ValueSet/claim-type` From the FHIR Standard
Claim.use | required | Use `http://hl7.org/fhir/ValueSet/claim-use|4.0.1` From the FHIR Standard
Claim.priority | example | ProcessPriorityCodes `http://hl7.org/fhir/ValueSet/process-priority` From the FHIR Standard
Claim.supportingInfo.category | example | ClaimInformationCategoryCodes `http://hl7.org/fhir/ValueSet/claim-informationcategory` From the FHIR Standard
Claim.item.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.detail.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Claim | 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 : 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() |
dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Claim | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from Claim

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | Claim | Claim, Pre-determination or Pre-authorization
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientCohort |  | 0..1 | CodeableConcept | Patient Cohort URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort Binding: Patient Cohort ValueSet (required)
extension:claimantNumber |  | 0..1 | string | Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
extension:originatingClaimantNumber |  | 0..1 | string | Originating Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
supportingInfo |  | 1..* | BackboneElement | Supporting information
insurance |  | 1..1 | BackboneElement | Patient insurance information
item |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientFlag |  | 0..1 | boolean | Patient Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
extension:prescriberFlag |  | 0..1 | boolean | Prescriber Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
extension:prescriptionFlag |  | 0..1 | boolean | Prescription Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
extension:doseFlag |  | 0..1 | boolean | Dose Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
extension:groupId |  | 0..1 | string | Group ID URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
Slices for serviced[x] |  | 1..1 | date | Date or dates of service or product delivery Slice: Unordered, Open by type:$this
serviced[x]:servicedDate |  | 1..1 | date | Date or dates of service or product delivery
detail |  | 1..* | BackboneElement | Product or service provided
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:balanceOwing |  | 0..1 | string | Balance Owing URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
extension:wastageQuantity |  | 0..1 | Quantity | Wastage Quantity URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
extension:cbsSubsidy |  | 0..1 | Money | CBS Subsidy URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
extension:cbsPackSize |  | 0..1 | Quantity | CBS Pack Size URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize
quantity |  | 1..1 | SimpleQuantity | Count of products or services
net |  | 1..1 | Money | Total item cost
total |  | 1..1 | Money | Total claim cost
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | Claim | Claim, Pre-determination or Pre-authorization
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientCohort |  | 0..1 | CodeableConcept | Patient Cohort URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort Binding: Patient Cohort ValueSet (required)
extension:claimantNumber |  | 0..1 | string | Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
extension:originatingClaimantNumber |  | 0..1 | string | Originating Claimant Number URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business Identifier for claim
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
subType |  | 0..1 | CodeableConcept | More granular claim type Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
billablePeriod | Σ | 0..1 | Period | Relevant time frame for the claim
created | Σ | 1..1 | dateTime | Resource creation date
enterer |  | 0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim
insurer | Σ | 0..1 | Reference(Organization) | Target
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the claim
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
fundsReserve |  | 0..1 | CodeableConcept | For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related |  | 0..* | BackboneElement | Prior or corollary claims
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
claim |  | 0..1 | Reference(Claim) | Reference to the related claim
relationship |  | 0..1 | CodeableConcept | How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference |  | 0..1 | Identifier | File or case reference
prescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products
originalPrescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller
payee |  | 0..1 | BackboneElement | Recipient of benefits payable
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference
referral |  | 0..1 | Reference(ServiceRequest) | Treatment referral
facility |  | 0..1 | Reference(Location) | Servicing facility
careTeam |  | 0..* | BackboneElement | Members of the care team
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Order of care team
provider |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization
responsible |  | 0..1 | boolean | Indicator of the lead practitioner
role |  | 0..1 | CodeableConcept | Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification |  | 0..1 | CodeableConcept | Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
supportingInfo |  | 1..* | BackboneElement | Supporting information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Information instance identifier
category |  | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
code |  | 0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x] |  | 0..1 |  | When it occurred
timingDate |  |  | date |
timingPeriod |  |  | Period |
value[x] |  | 0..1 |  | Data to be provided
valueBoolean |  |  | boolean |
valueString |  |  | string |
valueQuantity |  |  | Quantity |
valueAttachment |  |  | Attachment |
valueReference |  |  | Reference(Resource) |
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis |  | 0..* | BackboneElement | Pertinent diagnosis information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 |  | Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept |  |  | CodeableConcept |
diagnosisReference |  |  | Reference(Condition) |
type |  | 0..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure |  | 0..* | BackboneElement | Clinical procedures performed
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Procedure instance identifier
type |  | 0..* | CodeableConcept | Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date |  | 0..1 | dateTime | When the procedure was performed
procedure[x] |  | 1..1 |  | Specific clinical procedure Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept |  |  | CodeableConcept |
procedureReference |  |  | Reference(Procedure) |
udi |  | 0..* | Reference(Device) | Unique device identifier
insurance | Σ | 1..1 | BackboneElement | Patient insurance information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication
identifier |  | 0..1 | Identifier | Pre-assigned Claim number
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
businessArrangement |  | 0..1 | string | Additional provider contract number
preAuthRef |  | 0..* | string | Prior authorization reference number
claimResponse |  | 0..1 | Reference(ClaimResponse) | Adjudication results
accident |  | 0..1 | BackboneElement | Details of the event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
date |  | 1..1 | date | When the incident occurred
type |  | 0..1 | CodeableConcept | The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x] |  | 0..1 |  | Where the event occurred
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
item |  | 1..* | BackboneElement | Product or service provided
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:patientFlag |  | 0..1 | boolean | Patient Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
extension:prescriberFlag |  | 0..1 | boolean | Prescriber Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
extension:prescriptionFlag |  | 0..1 | boolean | Prescription Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
extension:doseFlag |  | 0..1 | boolean | Dose Flag URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
extension:groupId |  | 0..1 | string | Group ID URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Slices for serviced[x] |  | 1..1 | date | Date or dates of service or product delivery Slice: Unordered, Closed by type:$this
serviced[x]:servicedDate |  | 1..1 | date | Date or dates of service or product delivery
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 1..* | BackboneElement | Product or service provided
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:balanceOwing |  | 0..1 | string | Balance Owing URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
extension:wastageQuantity |  | 0..1 | Quantity | Wastage Quantity URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
extension:cbsSubsidy |  | 0..1 | Money | CBS Subsidy URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
extension:cbsPackSize |  | 0..1 | Quantity | CBS Pack Size URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 1..1 | SimpleQuantity | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 1..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
total |  | 1..1 | Money | Total claim cost
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Claim.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Claim.status | required | FinancialResourceStatusCodes `http://hl7.org/fhir/ValueSet/fm-status|4.0.1` From the FHIR Standard
Claim.type | extensible | ClaimTypeCodes `http://hl7.org/fhir/ValueSet/claim-type` From the FHIR Standard
Claim.subType | example | ExampleClaimSubTypeCodes `http://hl7.org/fhir/ValueSet/claim-subtype` From the FHIR Standard
Claim.use | required | Use `http://hl7.org/fhir/ValueSet/claim-use|4.0.1` From the FHIR Standard
Claim.priority | example | ProcessPriorityCodes `http://hl7.org/fhir/ValueSet/process-priority` From the FHIR Standard
Claim.fundsReserve | example | Funds Reservation Codes `http://hl7.org/fhir/ValueSet/fundsreserve` From the FHIR Standard
Claim.related.relationship | example | ExampleRelatedClaimRelationshipCodes `http://hl7.org/fhir/ValueSet/related-claim-relationship` From the FHIR Standard
Claim.payee.type | example | Claim Payee Type Codes `http://hl7.org/fhir/ValueSet/payeetype` From the FHIR Standard
Claim.careTeam.role | example | ClaimCareTeamRoleCodes `http://hl7.org/fhir/ValueSet/claim-careteamrole` From the FHIR Standard
Claim.careTeam.qualification | example | ExampleProviderQualificationCodes `http://hl7.org/fhir/ValueSet/provider-qualification` From the FHIR Standard
Claim.supportingInfo.category | example | ClaimInformationCategoryCodes `http://hl7.org/fhir/ValueSet/claim-informationcategory` From the FHIR Standard
Claim.supportingInfo.code | example | ExceptionCodes `http://hl7.org/fhir/ValueSet/claim-exception` From the FHIR Standard
Claim.supportingInfo.reason | example | MissingToothReasonCodes `http://hl7.org/fhir/ValueSet/missing-tooth-reason` From the FHIR Standard
Claim.diagnosis.diagnosis[x] | example | ICD-10Codes `http://hl7.org/fhir/ValueSet/icd-10` From the FHIR Standard
Claim.diagnosis.type | example | ExampleDiagnosisTypeCodes `http://hl7.org/fhir/ValueSet/ex-diagnosistype` From the FHIR Standard
Claim.diagnosis.onAdmission | example | ExampleDiagnosisOnAdmissionCodes `http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission` From the FHIR Standard
Claim.diagnosis.packageCode | example | ExampleDiagnosisRelatedGroupCodes `http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup` From the FHIR Standard
Claim.procedure.type | example | ExampleProcedureTypeCodes `http://hl7.org/fhir/ValueSet/ex-procedure-type` From the FHIR Standard
Claim.procedure.procedure[x] | example | ICD-10ProcedureCodes `http://hl7.org/fhir/ValueSet/icd-10-procedures` From the FHIR Standard
Claim.accident.type | extensible | ActIncidentCode `http://terminology.hl7.org/ValueSet/v3-ActIncidentCode`
Claim.item.revenue | example | ExampleRevenueCenterCodes `http://hl7.org/fhir/ValueSet/ex-revenue-center` From the FHIR Standard
Claim.item.category | example | BenefitCategoryCodes `http://hl7.org/fhir/ValueSet/ex-benefitcategory` From the FHIR Standard
Claim.item.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.modifier | example | ModifierTypeCodes `http://hl7.org/fhir/ValueSet/claim-modifiers` From the FHIR Standard
Claim.item.programCode | example | ExampleProgramReasonCodes `http://hl7.org/fhir/ValueSet/ex-program-code` From the FHIR Standard
Claim.item.location[x] | example | ExampleServicePlaceCodes `http://hl7.org/fhir/ValueSet/service-place` From the FHIR Standard
Claim.item.bodySite | example | OralSiteCodes `http://hl7.org/fhir/ValueSet/tooth` From the FHIR Standard
Claim.item.subSite | example | SurfaceCodes `http://hl7.org/fhir/ValueSet/surface` From the FHIR Standard
Claim.item.detail.revenue | example | ExampleRevenueCenterCodes `http://hl7.org/fhir/ValueSet/ex-revenue-center` From the FHIR Standard
Claim.item.detail.category | example | BenefitCategoryCodes `http://hl7.org/fhir/ValueSet/ex-benefitcategory` From the FHIR Standard
Claim.item.detail.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.detail.modifier | example | ModifierTypeCodes `http://hl7.org/fhir/ValueSet/claim-modifiers` From the FHIR Standard
Claim.item.detail.programCode | example | ExampleProgramReasonCodes `http://hl7.org/fhir/ValueSet/ex-program-code` From the FHIR Standard
Claim.item.detail.subDetail.revenue | example | ExampleRevenueCenterCodes `http://hl7.org/fhir/ValueSet/ex-revenue-center` From the FHIR Standard
Claim.item.detail.subDetail.category | example | BenefitCategoryCodes `http://hl7.org/fhir/ValueSet/ex-benefitcategory` From the FHIR Standard
Claim.item.detail.subDetail.productOrService | example | USCLSCodes `http://hl7.org/fhir/ValueSet/service-uscls` From the FHIR Standard
Claim.item.detail.subDetail.modifier | example | ModifierTypeCodes `http://hl7.org/fhir/ValueSet/claim-modifiers` From the FHIR Standard
Claim.item.detail.subDetail.programCode | example | ExampleProgramReasonCodes `http://hl7.org/fhir/ValueSet/ex-program-code` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Claim | 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 : 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() |
dom-4 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Claim | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Claim | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Claim

Summary

Mandatory: 8 elements

Extensions

This structure refers to these extensions:

- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-cohort
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/claimant-number
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/originating-claimant-number
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/patient-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescriber-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/prescription-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/dose-flag
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/group-id
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/hsaap-balance-owing
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/wastageQuantity
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsSubsidy
- https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/cbsPackSize

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Claim.item.serviced[x]

Other representations of profile: CSV, Excel, Schematron