# PAS Claim Base - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.2.0-ballot

## Resource Profile: PAS Claim Base ( Abstract ) 

 
PAS constraints on Claim resource that are common to both the request and the inquiry. 

**Usages:**

* Derived from this Profile: [PAS Claim Inquiry](StructureDefinition-profile-claim-inquiry.md), [PAS Claim Update](StructureDefinition-profile-claim-update.md), [PAS Claim](StructureDefinition-profile-claim.md), [PAS Claim Inquiry](http://hl7.org/fhir/us/davinci-pas/STU2.1/StructureDefinition-profile-claim-inquiry.html)... Show 2 more, [PAS Claim Update](http://hl7.org/fhir/us/davinci-pas/STU2.1/StructureDefinition-profile-claim-update.html) and [PAS Claim](http://hl7.org/fhir/us/davinci-pas/STU2.1/StructureDefinition-profile-claim.html)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.davinci-pas|current/StructureDefinition/profile-claim-base)

### Formal Views of Profile Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-profile-claim-base.csv), [Excel](../StructureDefinition-profile-claim-base.xlsx), [Schematron](../StructureDefinition-profile-claim-base.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "profile-claim-base",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.24.42.46"
    }
  ],
  "version" : "2.2.0-ballot",
  "name" : "PASClaimBase",
  "title" : "PAS Claim Base",
  "status" : "active",
  "date" : "2026-01-30T16:26:59+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name" : "Jean Duteau",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "PAS constraints on Claim resource that are common to both the request and the inquiry.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : true,
  "type" : "Claim",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Claim",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Claim",
        "path" : "Claim",
        "short" : "Preauthorization"
      },
      {
        "id" : "Claim.extension",
        "path" : "Claim.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "Claim.extension:levelOfServiceType",
        "path" : "Claim.extension",
        "sliceName" : "levelOfServiceType",
        "short" : "A code specifying the level of service being requested (UM06)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.extension:conditionCode",
        "path" : "Claim.extension",
        "sliceName" : "conditionCode",
        "short" : "Used to indicate condition codes for various requests for service.",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.extension:homeHealthCareInformation",
        "path" : "Claim.extension",
        "sliceName" : "homeHealthCareInformation",
        "short" : "Used to provide required information about home health care services. (CR6)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-homeHealthCareInformation|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.extension:authorizationNumber",
        "path" : "Claim.extension",
        "sliceName" : "authorizationNumber",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.extension:administrationReferenceNumber",
        "path" : "Claim.extension",
        "sliceName" : "administrationReferenceNumber",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.identifier",
        "path" : "Claim.identifier",
        "short" : "Business identifier for claim",
        "type" : [
          {
            "code" : "Identifier",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-identifier|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.identifier.system",
        "path" : "Claim.identifier.system",
        "short" : "SHOULD use a scheme of 'urn:trnorg:<TRN03>'"
      },
      {
        "id" : "Claim.status",
        "path" : "Claim.status",
        "short" : "This is fixed to active even if the CertificationType is indicating that the Claim is to be cancelled as it reflects that status of this instance and not the overall Claim",
        "patternCode" : "active",
        "mustSupport" : true
      },
      {
        "id" : "Claim.type",
        "path" : "Claim.type",
        "short" : "This is used as a high-level mapping of the X12 UM03 field",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes"
        }
      },
      {
        "id" : "Claim.use",
        "path" : "Claim.use",
        "patternCode" : "preauthorization",
        "mustSupport" : true
      },
      {
        "id" : "Claim.patient",
        "path" : "Claim.patient",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.insurer",
        "path" : "Claim.insurer",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.provider",
        "path" : "Claim.provider",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor|2.2.0-ballot",
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam",
        "path" : "Claim.careTeam",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "extension('http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope').value.ofType(boolean)"
            }
          ],
          "description" : "Slice based on whether the care team member belongs to the overall claim or to an individual claim item.",
          "rules" : "open"
        },
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam.extension",
        "path" : "Claim.careTeam.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Claim.careTeam.extension:careTeamClaimScope",
        "path" : "Claim.careTeam.extension",
        "sliceName" : "careTeamClaimScope",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam.sequence",
        "path" : "Claim.careTeam.sequence",
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam.provider",
        "path" : "Claim.careTeam.provider",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-organization|2.2.0-ballot",
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam.role",
        "path" : "Claim.careTeam.role",
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam.qualification",
        "path" : "Claim.careTeam.qualification",
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam:OverallClaimMember",
        "path" : "Claim.careTeam",
        "sliceName" : "OverallClaimMember",
        "short" : "Care Team Providers that are applicable to all services being requested.  NOTE: Only the first 14 can be sent in the X12 Request.",
        "comment" : "NOTE: Only the first 14 can be sent in the X12 Request.",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam:OverallClaimMember.extension",
        "path" : "Claim.careTeam.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Claim.careTeam:OverallClaimMember.extension:careTeamClaimScope",
        "path" : "Claim.careTeam.extension",
        "sliceName" : "careTeamClaimScope",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam:OverallClaimMember.extension:careTeamClaimScope.value[x]",
        "path" : "Claim.careTeam.extension.value[x]",
        "fixedBoolean" : true,
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam:OverallClaimMember.role",
        "path" : "Claim.careTeam.role",
        "binding" : {
          "strength" : "required",
          "description" : "Codes identifying a provider specialty. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.",
          "valueSet" : "https://valueset.x12.org/x217/005010/request/2010EA/NM1/1/01/00/98"
        }
      },
      {
        "id" : "Claim.careTeam:OverallClaimMember.qualification",
        "path" : "Claim.careTeam.qualification",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://valueset.x12.org/x217/005010/request/2010EA/PRV/1/03/00/127"
        }
      },
      {
        "id" : "Claim.careTeam:ItemClaimMember",
        "path" : "Claim.careTeam",
        "sliceName" : "ItemClaimMember",
        "short" : "Care Team Providers that are applicable to a specific item (as referenced by that item).  NOTE: Only the first 10 can be sent in the X12 Request.",
        "comment" : "NOTE: Only the first 10 can be sent in the X12 Request.",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam:ItemClaimMember.extension",
        "path" : "Claim.careTeam.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Claim.careTeam:ItemClaimMember.extension:careTeamClaimScope",
        "path" : "Claim.careTeam.extension",
        "sliceName" : "careTeamClaimScope",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam:ItemClaimMember.extension:careTeamClaimScope.value[x]",
        "path" : "Claim.careTeam.extension.value[x]",
        "fixedBoolean" : false,
        "mustSupport" : true
      },
      {
        "id" : "Claim.careTeam:ItemClaimMember.role",
        "path" : "Claim.careTeam.role",
        "binding" : {
          "strength" : "required",
          "description" : "Codes identifying a provider specialty. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.",
          "valueSet" : "https://valueset.x12.org/x217/005010/request/2010F/NM1/1/01/00/98"
        }
      },
      {
        "id" : "Claim.careTeam:ItemClaimMember.qualification",
        "path" : "Claim.careTeam.qualification",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://valueset.x12.org/x217/005010/request/2010F/PRV/1/03/00/127"
        }
      },
      {
        "id" : "Claim.supportingInfo",
        "path" : "Claim.supportingInfo",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "category"
            }
          ],
          "description" : "Slice based on the different types of supporting information that can be included in a authorization request.",
          "rules" : "open"
        },
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo.sequence",
        "path" : "Claim.supportingInfo.sequence",
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo.category",
        "path" : "Claim.supportingInfo.category",
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/PASSupportingInfoType|2.2.0-ballot"
        }
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent",
        "path" : "Claim.supportingInfo",
        "sliceName" : "PatientEvent",
        "short" : "Information about the dates of the event that are being requested.",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent.category",
        "path" : "Claim.supportingInfo.category",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
              "code" : "patientEvent"
            }
          ]
        }
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent.timing[x]",
        "path" : "Claim.supportingInfo.timing[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent.timing[x]:timingDate",
        "path" : "Claim.supportingInfo.timing[x]",
        "sliceName" : "timingDate",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent.timing[x]:timingPeriod",
        "path" : "Claim.supportingInfo.timing[x]",
        "sliceName" : "timingPeriod",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent.timing[x]:timingPeriod.start",
        "path" : "Claim.supportingInfo.timing[x].start",
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent.timing[x]:timingPeriod.end",
        "path" : "Claim.supportingInfo.timing[x].end",
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:PatientEvent.value[x]",
        "path" : "Claim.supportingInfo.value[x]",
        "max" : "0"
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates",
        "path" : "Claim.supportingInfo",
        "sliceName" : "AdmissionDates",
        "short" : "Information about the admission dates of a hospital admission being requested.",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates.category",
        "path" : "Claim.supportingInfo.category",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
              "code" : "admissionDates"
            }
          ]
        }
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates.timing[x]",
        "path" : "Claim.supportingInfo.timing[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates.timing[x]:timingDate",
        "path" : "Claim.supportingInfo.timing[x]",
        "sliceName" : "timingDate",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates.timing[x]:timingPeriod",
        "path" : "Claim.supportingInfo.timing[x]",
        "sliceName" : "timingPeriod",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates.timing[x]:timingPeriod.start",
        "path" : "Claim.supportingInfo.timing[x].start",
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates.timing[x]:timingPeriod.end",
        "path" : "Claim.supportingInfo.timing[x].end",
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:AdmissionDates.value[x]",
        "path" : "Claim.supportingInfo.value[x]",
        "max" : "0"
      },
      {
        "id" : "Claim.supportingInfo:DischargeDates",
        "path" : "Claim.supportingInfo",
        "sliceName" : "DischargeDates",
        "short" : "Information about the discharge dates of a hospital admission being requested.",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:DischargeDates.category",
        "path" : "Claim.supportingInfo.category",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
              "code" : "dischargeDates"
            }
          ]
        }
      },
      {
        "id" : "Claim.supportingInfo:DischargeDates.timing[x]",
        "path" : "Claim.supportingInfo.timing[x]",
        "min" : 1,
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.supportingInfo:DischargeDates.value[x]",
        "path" : "Claim.supportingInfo.value[x]",
        "max" : "0"
      },
      {
        "id" : "Claim.diagnosis",
        "path" : "Claim.diagnosis",
        "mustSupport" : true
      },
      {
        "id" : "Claim.diagnosis.sequence",
        "path" : "Claim.diagnosis.sequence",
        "mustSupport" : true
      },
      {
        "id" : "Claim.diagnosis.diagnosis[x]",
        "path" : "Claim.diagnosis.diagnosis[x]",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278DiagnosisCodes|2.2.0-ballot"
        }
      },
      {
        "id" : "Claim.diagnosis.type",
        "path" : "Claim.diagnosis.type",
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278DiagnosisType|2.2.0-ballot"
        }
      },
      {
        "id" : "Claim.insurance",
        "path" : "Claim.insurance",
        "mustSupport" : true
      },
      {
        "id" : "Claim.insurance.sequence",
        "path" : "Claim.insurance.sequence",
        "mustSupport" : true
      },
      {
        "id" : "Claim.insurance.focal",
        "path" : "Claim.insurance.focal",
        "patternBoolean" : true
      },
      {
        "id" : "Claim.insurance.coverage",
        "path" : "Claim.insurance.coverage",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.accident",
        "path" : "Claim.accident",
        "mustSupport" : true
      },
      {
        "id" : "Claim.accident.date",
        "path" : "Claim.accident.date",
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.accident.type",
        "path" : "Claim.accident.type",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "description" : "Codes identifying an accompanying cause of an illness, injury or an accident. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.",
          "valueSet" : "https://valueset.x12.org/x217/005010/request/2000E/UM/1/05/01/1362"
        }
      },
      {
        "id" : "Claim.accident.location[x]",
        "path" : "Claim.accident.location[x]",
        "type" : [
          {
            "code" : "Address"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item",
        "path" : "Claim.item",
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.extension",
        "path" : "Claim.item.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "Claim.item.extension:itemTraceNumber",
        "path" : "Claim.item.extension",
        "sliceName" : "itemTraceNumber",
        "short" : "Uniquely identifies this claim item. (2000F-TRN)",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.extension:authorizationNumber",
        "path" : "Claim.item.extension",
        "sliceName" : "authorizationNumber",
        "short" : "A string assigned by the UMO to an authorized review outcome associated with this service item.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.extension:administrationReferenceNumber",
        "path" : "Claim.item.extension",
        "sliceName" : "administrationReferenceNumber",
        "short" : "A string assigned by the UMO to the original disallowed review outcome associated with this service item.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.extension:requestType",
        "path" : "Claim.item.extension",
        "sliceName" : "requestType",
        "short" : "A code that identifies the type of service being requested.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.extension:certificationType",
        "path" : "Claim.item.extension",
        "sliceName" : "certificationType",
        "short" : "A code representing the type of certification being requested (UM02)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.extension:productOrServiceCodeEnd",
        "path" : "Claim.item.extension",
        "sliceName" : "productOrServiceCodeEnd",
        "short" : "Used to provide the last code in a series of codes for the service being requested.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.sequence",
        "path" : "Claim.item.sequence",
        "short" : "Sequence numbers SHALL stay the same across all instances of the Prior Authorization, eg the Claim, ClaimResponse, ClaimUpdate, ClaimUpdateResponse",
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.careTeamSequence",
        "path" : "Claim.item.careTeamSequence",
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.diagnosisSequence",
        "path" : "Claim.item.diagnosisSequence",
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.informationSequence",
        "path" : "Claim.item.informationSequence",
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.revenue",
        "path" : "Claim.item.revenue",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/AHANUBCRevenueCodes|2.2.0-ballot"
        }
      },
      {
        "id" : "Claim.item.category",
        "path" : "Claim.item.category",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "description" : "Codes identifying the classification of service. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.",
          "valueSet" : "https://valueset.x12.org/x217/005010/request/2000F/UM/1/03/00/1365"
        }
      },
      {
        "id" : "Claim.item.productOrService",
        "path" : "Claim.item.productOrService",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType|2.2.0-ballot"
        }
      },
      {
        "id" : "Claim.item.modifier",
        "path" : "Claim.item.modifier",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceModifierType|2.2.0-ballot"
        }
      },
      {
        "id" : "Claim.item.serviced[x]",
        "path" : "Claim.item.serviced[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.serviced[x]:servicedDate",
        "path" : "Claim.item.serviced[x]",
        "sliceName" : "servicedDate",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "date"
          }
        ],
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.serviced[x]:servicedPeriod",
        "path" : "Claim.item.serviced[x]",
        "sliceName" : "servicedPeriod",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Claim.item.serviced[x]:servicedPeriod.start",
        "path" : "Claim.item.serviced[x].start",
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ]
      },
      {
        "id" : "Claim.item.serviced[x]:servicedPeriod.end",
        "path" : "Claim.item.serviced[x].end",
        "constraint" : [
          {
            "key" : "FullDateRule",
            "severity" : "error",
            "human" : "Dates need to be a full date - YYYY-MM-DD",
            "expression" : "$this.toString().length() = 10",
            "source" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base|2.2.0-ballot"
          }
        ]
      },
      {
        "id" : "Claim.item.location[x]",
        "path" : "Claim.item.location[x]",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278LocationType|2.2.0-ballot"
        }
      },
      {
        "id" : "Claim.item.quantity",
        "path" : "Claim.item.quantity",
        "comment" : "For any exchange that must be converted to an X12 request, units SHALL be restricted to international units, days, units, minutes, hours, months, or visits.",
        "type" : [
          {
            "code" : "Quantity",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-quantity|2.2.0-ballot"
            ]
          }
        ],
        "mustSupport" : true
      }
    ]
  }
}

```
