臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions
Mappings for the LTCClaimFeeApply resource profile.
| Name | 長照支付審查－服務記錄申報邏輯模型對應 |
|---|
  Claim |
|
  Claim / id |
|
 Claim / meta |
|
| Claim / implicitRules |
|
| Claim / language |
|
| Claim / text |
|
| Claim / contained |
|
 Claim / extension |
|
 Claim / modifierExtension |
|
  Claim / Slices for identifier |
|
   Claim / Slices for identifier / identifier:objid |
|
  Claim / Slices for identifier / identifier:objid / id |
|
| Claim / Slices for identifier / identifier:objid / extension |
|
| Claim / Slices for identifier / identifier:objid / use |
|
| Claim / Slices for identifier / identifier:objid / type |
|
| Claim / Slices for identifier / identifier:objid / system |
|
| Claim / Slices for identifier / identifier:objid / value |
|
| Claim / Slices for identifier / identifier:objid / period |
|
  Claim / Slices for identifier / identifier:objid / assigner |
|
| Claim / Slices for identifier / identifier:transNo |
|
| Claim / Slices for identifier / identifier:transNo / id |
|
| Claim / Slices for identifier / identifier:transNo / extension |
|
| Claim / Slices for identifier / identifier:transNo / use |
|
| Claim / Slices for identifier / identifier:transNo / type |
|
| Claim / Slices for identifier / identifier:transNo / system |
|
| Claim / Slices for identifier / identifier:transNo / value |
|
| Claim / Slices for identifier / identifier:transNo / period |
|
| Claim / Slices for identifier / identifier:transNo / assigner |
|
 Claim / Slices for identifier / identifier:yyyymm |
|
 Claim / Slices for identifier / identifier:yyyymm / id |
|
| Claim / Slices for identifier / identifier:yyyymm / extension |
|
| Claim / Slices for identifier / identifier:yyyymm / use |
|
| Claim / Slices for identifier / identifier:yyyymm / type |
|
| Claim / Slices for identifier / identifier:yyyymm / system |
|
| Claim / Slices for identifier / identifier:yyyymm / value |
|
| Claim / Slices for identifier / identifier:yyyymm / period |
|
| Claim / Slices for identifier / identifier:yyyymm / assigner |
|
| Claim / status |
|
| Claim / type |
|
| Claim / type / id |
|
| Claim / type / extension |
|
| Claim / type / coding |
|
| Claim / type / coding / id |
|
| Claim / type / coding / extension |
|
| Claim / type / coding / system |
|
| Claim / type / coding / version |
|
| Claim / type / coding / code |
|
| Claim / type / coding / display |
|
 Claim / type / coding / userSelected |
|
| Claim / type / text |
|
| Claim / subType |
|
| Claim / use |
|
| Claim / patient |
|
| Claim / billablePeriod |
|
| Claim / created |
|
| Claim / enterer |
|
| Claim / insurer |
|
| Claim / provider |
|
| Claim / priority |
|
| Claim / fundsReserve |
|
| Claim / related |
|
| Claim / related / id |
|
| Claim / related / extension |
|
| Claim / related / modifierExtension |
|
| Claim / related / claim |
|
| Claim / related / relationship |
|
| Claim / related / reference |
|
| Claim / prescription |
|
| Claim / originalPrescription |
|
| Claim / payee |
|
| Claim / payee / id |
|
| Claim / payee / extension |
|
| Claim / payee / modifierExtension |
|
| Claim / payee / type |
|
| Claim / payee / party |
|
| Claim / referral |
|
| Claim / facility |
|
| Claim / careTeam |
|
| Claim / careTeam / id |
|
| Claim / careTeam / extension |
|
| Claim / careTeam / modifierExtension |
|
| Claim / careTeam / sequence |
|
| Claim / careTeam / provider |
|
| Claim / careTeam / responsible |
|
| Claim / careTeam / role |
|
| Claim / careTeam / qualification |
|
| Claim / Slices for supportingInfo |
|
 Claim / Slices for supportingInfo / supportingInfo:All Slices |
|
 Claim / Slices for supportingInfo / supportingInfo:All Slices / id |
|
| Claim / Slices for supportingInfo / supportingInfo:All Slices / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:All Slices / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:All Slices / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:All Slices / category |
|
| Claim / Slices for supportingInfo / supportingInfo:All Slices / code |
|
 Claim / Slices for supportingInfo / supportingInfo:All Slices / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:All Slices / value[x] |
|
 Claim / Slices for supportingInfo / supportingInfo:All Slices / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItem / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcItemOther / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPeople / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcContent / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPoint / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcPointOther / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcTrace / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcGoal / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcSuitable / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svcUnit / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoalType / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccGoal / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContentTarget / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccContent / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / id |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / category |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / code |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:svccSuggest / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / id |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / category |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / code |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:addrFrom / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / id |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / category |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / code |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:addrTo / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / id |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / category |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / code |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:carNo / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:driver |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / id |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / category |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / code |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:driver / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:milage |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / id |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / category |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / code |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:milage / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / id |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / category |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / code |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:bd03Type / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / id |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / category |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / code |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:lastSvc / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / id |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / category |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / code |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:missedVisit / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / id |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / category |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / code |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:applyCovid19 / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / id |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / category |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / code |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA03 / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / id |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / category |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / code |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:applyAA09 / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / id |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / category |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / code |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:aa10Status / reason |
|
| Claim / Slices for supportingInfo / supportingInfo:remark |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / id |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / extension |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / modifierExtension |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / sequence |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / category |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / code |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / timing[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / value[x] |
|
| Claim / Slices for supportingInfo / supportingInfo:remark / reason |
|
| Claim / diagnosis |
|
| Claim / diagnosis / id |
|
| Claim / diagnosis / extension |
|
| Claim / diagnosis / modifierExtension |
|
| Claim / diagnosis / sequence |
|
| Claim / diagnosis / diagnosis[x] |
|
| Claim / diagnosis / type |
|
| Claim / diagnosis / onAdmission |
|
| Claim / diagnosis / packageCode |
|
| Claim / procedure |
|
| Claim / procedure / id |
|
| Claim / procedure / extension |
|
| Claim / procedure / modifierExtension |
|
| Claim / procedure / sequence |
|
| Claim / procedure / type |
|
| Claim / procedure / date |
|
| Claim / procedure / procedure[x] |
|
| Claim / procedure / udi |
|
| Claim / insurance |
|
| Claim / insurance / id |
|
| Claim / insurance / extension |
|
| Claim / insurance / modifierExtension |
|
| Claim / insurance / sequence |
|
| Claim / insurance / focal |
|
| Claim / insurance / identifier |
|
| Claim / insurance / coverage |
|
| Claim / insurance / businessArrangement |
|
| Claim / insurance / preAuthRef |
|
| Claim / insurance / claimResponse |
|
| Claim / accident |
|
| Claim / accident / id |
|
| Claim / accident / extension |
|
| Claim / accident / modifierExtension |
|
| Claim / accident / date |
|
| Claim / accident / type |
|
| Claim / accident / location[x] |
|
| Claim / item |
|
| Claim / item / id |
|
| Claim / item / extension |
|
| Claim / item / modifierExtension |
|
| Claim / item / sequence |
|
| Claim / item / careTeamSequence |
|
| Claim / item / diagnosisSequence |
|
| Claim / item / procedureSequence |
|
| Claim / item / informationSequence |
|
| Claim / item / revenue |
|
| Claim / item / category |
|
| Claim / item / productOrService |
|
| Claim / item / modifier |
|
| Claim / item / programCode |
|
| Claim / item / serviced[x] |
|
| Claim / item / location[x] |
|
| Claim / item / quantity |
|
| Claim / item / unitPrice |
|
| Claim / item / factor |
|
| Claim / item / net |
|
| Claim / item / udi |
|
| Claim / item / bodySite |
|
| Claim / item / subSite |
|
| Claim / item / encounter |
|
 Claim / item / detail |
|
| Claim / item / detail / id |
|
| Claim / item / detail / extension |
|
| Claim / item / detail / modifierExtension |
|
| Claim / item / detail / sequence |
|
| Claim / item / detail / revenue |
|
| Claim / item / detail / category |
|
| Claim / item / detail / productOrService |
|
| Claim / item / detail / modifier |
|
| Claim / item / detail / programCode |
|
| Claim / item / detail / quantity |
|
| Claim / item / detail / unitPrice |
|
| Claim / item / detail / factor |
|
| Claim / item / detail / net |
|
| Claim / item / detail / udi |
|
| Claim / item / detail / subDetail |
|
| Claim / item / detail / subDetail / id |
|
| Claim / item / detail / subDetail / extension |
|
| Claim / item / detail / subDetail / modifierExtension |
|
| Claim / item / detail / subDetail / sequence |
|
| Claim / item / detail / subDetail / revenue |
|
| Claim / item / detail / subDetail / category |
|
| Claim / item / detail / subDetail / productOrService |
|
| Claim / item / detail / subDetail / modifier |
|
| Claim / item / detail / subDetail / programCode |
|
| Claim / item / detail / subDetail / quantity |
|
| Claim / item / detail / subDetail / unitPrice |
|
| Claim / item / detail / subDetail / factor |
|
| Claim / item / detail / subDetail / net |
|
| Claim / item / detail / subDetail / udi |
|
| Claim / total |
|
Documentation for this format |