# PH Claim - NHDR Implementation Guide Release 1.0 v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **PH Claim**

## Resource Profile: PH Claim 

| | |
| :--- | :--- |
| *Official URL*:https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim | *Version*:0.1.0 |
| * Standards status: *[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | *Computable Name*:PH_Claim |
| **Copyright/Legal**: Used by permission of HL7 International, all rights reserved Creative Commons License | |

 
A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. 

**Usages:**

* This Profile is not used by any profiles in this Implementation Guide

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/PHCDI|current/StructureDefinition/PH-Claim)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-PH-Claim.csv), [Excel](StructureDefinition-PH-Claim.xlsx), [Schematron](StructureDefinition-PH-Claim.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "PH-Claim",
  "language" : "en-US",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  }],
  "url" : "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Claim",
  "version" : "0.1.0",
  "name" : "PH_Claim",
  "title" : "PH Claim",
  "status" : "draft",
  "date" : "2026-04-15T05:29:46+00:00",
  "publisher" : "NHDR",
  "contact" : [{
    "name" : "NHDR",
    "telecom" : [{
      "system" : "url",
      "value" : "https://nhdr.gov.ph"
    }]
  }],
  "description" : "A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.",
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "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" : false,
  "type" : "Claim",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Claim",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Claim",
      "path" : "Claim"
    },
    {
      "id" : "Claim.meta.extension:hfRecordedDate",
      "path" : "Claim.meta.extension",
      "sliceName" : "hfRecordedDate",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate"]
      }]
    },
    {
      "id" : "Claim.meta.extension:hfLastUpdated",
      "path" : "Claim.meta.extension",
      "sliceName" : "hfLastUpdated",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated"]
      }]
    },
    {
      "id" : "Claim.meta.lastUpdated",
      "path" : "Claim.meta.lastUpdated",
      "short" : "When the resource was uploaded to the NHDR."
    },
    {
      "id" : "Claim.implicitRules",
      "path" : "Claim.implicitRules",
      "max" : "0"
    },
    {
      "id" : "Claim.language",
      "path" : "Claim.language",
      "max" : "0"
    },
    {
      "id" : "Claim.text",
      "path" : "Claim.text",
      "max" : "0"
    },
    {
      "id" : "Claim.contained",
      "path" : "Claim.contained",
      "max" : "0"
    },
    {
      "id" : "Claim.extension",
      "path" : "Claim.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Claim.extension:encounter",
      "path" : "Claim.extension",
      "sliceName" : "encounter",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension"]
      }]
    },
    {
      "id" : "Claim.modifierExtension",
      "path" : "Claim.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.subType",
      "path" : "Claim.subType",
      "max" : "0"
    },
    {
      "id" : "Claim.patient",
      "path" : "Claim.patient",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"]
      }]
    },
    {
      "id" : "Claim.billablePeriod",
      "path" : "Claim.billablePeriod",
      "max" : "0"
    },
    {
      "id" : "Claim.created",
      "path" : "Claim.created",
      "definition" : "The date when the claim document was created in the facility."
    },
    {
      "id" : "Claim.enterer",
      "path" : "Claim.enterer",
      "max" : "0"
    },
    {
      "id" : "Claim.insurer",
      "path" : "Claim.insurer",
      "max" : "0"
    },
    {
      "id" : "Claim.provider",
      "path" : "Claim.provider",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-PractitionerRole",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"]
      }]
    },
    {
      "id" : "Claim.fundsReserve",
      "path" : "Claim.fundsReserve",
      "max" : "0"
    },
    {
      "id" : "Claim.related",
      "path" : "Claim.related",
      "max" : "0"
    },
    {
      "id" : "Claim.prescription",
      "path" : "Claim.prescription",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceRequest",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
      }]
    },
    {
      "id" : "Claim.originalPrescription",
      "path" : "Claim.originalPrescription",
      "max" : "0"
    },
    {
      "id" : "Claim.payee.id",
      "path" : "Claim.payee.id",
      "max" : "0"
    },
    {
      "id" : "Claim.payee.extension",
      "path" : "Claim.payee.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.payee.modifierExtension",
      "path" : "Claim.payee.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.payee.party",
      "path" : "Claim.payee.party",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-PractitionerRole",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-RelatedPerson"]
      }]
    },
    {
      "id" : "Claim.referral",
      "path" : "Claim.referral",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-ServiceRequest"]
      }]
    },
    {
      "id" : "Claim.facility",
      "path" : "Claim.facility",
      "max" : "0"
    },
    {
      "id" : "Claim.careTeam.provider",
      "path" : "Claim.careTeam.provider",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-PractitionerRole",
        "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization"]
      }]
    },
    {
      "id" : "Claim.careTeam.responsible",
      "path" : "Claim.careTeam.responsible",
      "max" : "0"
    },
    {
      "id" : "Claim.careTeam.role",
      "path" : "Claim.careTeam.role",
      "max" : "0"
    },
    {
      "id" : "Claim.careTeam.qualification",
      "path" : "Claim.careTeam.qualification",
      "max" : "0"
    },
    {
      "id" : "Claim.supportingInfo.id",
      "path" : "Claim.supportingInfo.id",
      "max" : "0"
    },
    {
      "id" : "Claim.supportingInfo.extension",
      "path" : "Claim.supportingInfo.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.supportingInfo.modifierExtension",
      "path" : "Claim.supportingInfo.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.supportingInfo.code",
      "path" : "Claim.supportingInfo.code",
      "max" : "0"
    },
    {
      "id" : "Claim.supportingInfo.timing[x]",
      "path" : "Claim.supportingInfo.timing[x]",
      "max" : "0"
    },
    {
      "id" : "Claim.supportingInfo.reason",
      "path" : "Claim.supportingInfo.reason",
      "max" : "0"
    },
    {
      "id" : "Claim.diagnosis.id",
      "path" : "Claim.diagnosis.id",
      "max" : "0"
    },
    {
      "id" : "Claim.diagnosis.extension",
      "path" : "Claim.diagnosis.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.diagnosis.modifierExtension",
      "path" : "Claim.diagnosis.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.diagnosis.diagnosis[x]",
      "path" : "Claim.diagnosis.diagnosis[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Claim.diagnosis.diagnosis[x]:diagnosisReference",
      "path" : "Claim.diagnosis.diagnosis[x]",
      "sliceName" : "diagnosisReference",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Condition"]
      }]
    },
    {
      "id" : "Claim.diagnosis.type",
      "path" : "Claim.diagnosis.type",
      "max" : "0"
    },
    {
      "id" : "Claim.diagnosis.onAdmission",
      "path" : "Claim.diagnosis.onAdmission",
      "max" : "0"
    },
    {
      "id" : "Claim.diagnosis.packageCode",
      "path" : "Claim.diagnosis.packageCode",
      "max" : "0"
    },
    {
      "id" : "Claim.procedure.id",
      "path" : "Claim.procedure.id",
      "max" : "0"
    },
    {
      "id" : "Claim.procedure.extension",
      "path" : "Claim.procedure.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.procedure.modifierExtension",
      "path" : "Claim.procedure.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.procedure.type",
      "path" : "Claim.procedure.type",
      "max" : "0"
    },
    {
      "id" : "Claim.procedure.procedure[x]",
      "path" : "Claim.procedure.procedure[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Claim.procedure.procedure[x]:procedureReference",
      "path" : "Claim.procedure.procedure[x]",
      "sliceName" : "procedureReference",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Procedure"]
      }]
    },
    {
      "id" : "Claim.procedure.udi",
      "path" : "Claim.procedure.udi",
      "max" : "0"
    },
    {
      "id" : "Claim.insurance.id",
      "path" : "Claim.insurance.id",
      "max" : "0"
    },
    {
      "id" : "Claim.insurance.extension",
      "path" : "Claim.insurance.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.insurance.modifierExtension",
      "path" : "Claim.insurance.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.insurance.identifier",
      "path" : "Claim.insurance.identifier",
      "max" : "0"
    },
    {
      "id" : "Claim.insurance.coverage",
      "path" : "Claim.insurance.coverage",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Coverage"]
      }]
    },
    {
      "id" : "Claim.insurance.businessArrangement",
      "path" : "Claim.insurance.businessArrangement",
      "max" : "0"
    },
    {
      "id" : "Claim.insurance.preAuthRef",
      "path" : "Claim.insurance.preAuthRef",
      "max" : "0"
    },
    {
      "id" : "Claim.insurance.claimResponse",
      "path" : "Claim.insurance.claimResponse",
      "max" : "0"
    },
    {
      "id" : "Claim.accident",
      "path" : "Claim.accident",
      "max" : "0"
    },
    {
      "id" : "Claim.item",
      "path" : "Claim.item",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "productOrService.coding.code"
        }],
        "rules" : "open"
      }
    },
    {
      "id" : "Claim.item.id",
      "path" : "Claim.item.id",
      "max" : "0"
    },
    {
      "id" : "Claim.item.extension",
      "path" : "Claim.item.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.item.modifierExtension",
      "path" : "Claim.item.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.item.careTeamSequence",
      "path" : "Claim.item.careTeamSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item.diagnosisSequence",
      "path" : "Claim.item.diagnosisSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item.procedureSequence",
      "path" : "Claim.item.procedureSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item.informationSequence",
      "path" : "Claim.item.informationSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item.revenue",
      "path" : "Claim.item.revenue",
      "max" : "0"
    },
    {
      "id" : "Claim.item.modifier",
      "path" : "Claim.item.modifier",
      "max" : "0"
    },
    {
      "id" : "Claim.item.programCode",
      "path" : "Claim.item.programCode",
      "max" : "0"
    },
    {
      "id" : "Claim.item.location[x]",
      "path" : "Claim.item.location[x]",
      "max" : "0"
    },
    {
      "id" : "Claim.item.unitPrice",
      "path" : "Claim.item.unitPrice",
      "max" : "0"
    },
    {
      "id" : "Claim.item.factor",
      "path" : "Claim.item.factor",
      "max" : "0"
    },
    {
      "id" : "Claim.item.udi",
      "path" : "Claim.item.udi",
      "max" : "0"
    },
    {
      "id" : "Claim.item.bodySite",
      "path" : "Claim.item.bodySite",
      "max" : "0"
    },
    {
      "id" : "Claim.item.subSite",
      "path" : "Claim.item.subSite",
      "max" : "0"
    },
    {
      "id" : "Claim.item.encounter",
      "path" : "Claim.item.encounter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"]
      }]
    },
    {
      "id" : "Claim.item.detail.id",
      "path" : "Claim.item.detail.id",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.extension",
      "path" : "Claim.item.detail.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.modifierExtension",
      "path" : "Claim.item.detail.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.revenue",
      "path" : "Claim.item.detail.revenue",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.category",
      "path" : "Claim.item.detail.category",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.modifier",
      "path" : "Claim.item.detail.modifier",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.programCode",
      "path" : "Claim.item.detail.programCode",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.quantity",
      "path" : "Claim.item.detail.quantity",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.unitPrice",
      "path" : "Claim.item.detail.unitPrice",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.factor",
      "path" : "Claim.item.detail.factor",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.udi",
      "path" : "Claim.item.detail.udi",
      "max" : "0"
    },
    {
      "id" : "Claim.item.detail.subDetail",
      "path" : "Claim.item.detail.subDetail",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure",
      "path" : "Claim.item",
      "sliceName" : "repetitiveProcedure",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.id",
      "path" : "Claim.item.id",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.extension",
      "path" : "Claim.item.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.modifierExtension",
      "path" : "Claim.item.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.careTeamSequence",
      "path" : "Claim.item.careTeamSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.diagnosisSequence",
      "path" : "Claim.item.diagnosisSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.procedureSequence",
      "path" : "Claim.item.procedureSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.informationSequence",
      "path" : "Claim.item.informationSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.revenue",
      "path" : "Claim.item.revenue",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.productOrService.coding.code",
      "path" : "Claim.item.productOrService.coding.code",
      "min" : 1,
      "patternCode" : "repetitive-procedure"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.modifier",
      "path" : "Claim.item.modifier",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.programCode",
      "path" : "Claim.item.programCode",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.location[x]",
      "path" : "Claim.item.location[x]",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.unitPrice",
      "path" : "Claim.item.unitPrice",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.factor",
      "path" : "Claim.item.factor",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.udi",
      "path" : "Claim.item.udi",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.bodySite",
      "path" : "Claim.item.bodySite",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.subSite",
      "path" : "Claim.item.subSite",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.encounter",
      "path" : "Claim.item.encounter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"]
      }]
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.id",
      "path" : "Claim.item.detail.id",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.extension",
      "path" : "Claim.item.detail.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.modifierExtension",
      "path" : "Claim.item.detail.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.revenue",
      "path" : "Claim.item.detail.revenue",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.category",
      "path" : "Claim.item.detail.category",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.modifier",
      "path" : "Claim.item.detail.modifier",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.programCode",
      "path" : "Claim.item.detail.programCode",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.quantity",
      "path" : "Claim.item.detail.quantity",
      "max" : "0"
    },
    {
      "id" : "Claim.item:repetitiveProcedure.detail.unitPrice",
      "path" : "Claim.item.detail.unitPrice",
      "max" : "0"
    },
    {
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      "path" : "Claim.item.encounter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"]
      }]
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.id",
      "path" : "Claim.item.detail.id",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.extension",
      "path" : "Claim.item.detail.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.modifierExtension",
      "path" : "Claim.item.detail.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.revenue",
      "path" : "Claim.item.detail.revenue",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.category",
      "path" : "Claim.item.detail.category",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.modifier",
      "path" : "Claim.item.detail.modifier",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.programCode",
      "path" : "Claim.item.detail.programCode",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.quantity",
      "path" : "Claim.item.detail.quantity",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.unitPrice",
      "path" : "Claim.item.detail.unitPrice",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.factor",
      "path" : "Claim.item.detail.factor",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.udi",
      "path" : "Claim.item.detail.udi",
      "max" : "0"
    },
    {
      "id" : "Claim.item:firstCaseRate.detail.subDetail",
      "path" : "Claim.item.detail.subDetail",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate",
      "path" : "Claim.item",
      "sliceName" : "secondCaseRate",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Claim.item:secondCaseRate.id",
      "path" : "Claim.item.id",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.extension",
      "path" : "Claim.item.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.modifierExtension",
      "path" : "Claim.item.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.careTeamSequence",
      "path" : "Claim.item.careTeamSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.diagnosisSequence",
      "path" : "Claim.item.diagnosisSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.procedureSequence",
      "path" : "Claim.item.procedureSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.informationSequence",
      "path" : "Claim.item.informationSequence",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.revenue",
      "path" : "Claim.item.revenue",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.productOrService.coding.code",
      "path" : "Claim.item.productOrService.coding.code",
      "min" : 1,
      "patternCode" : "second-case-rate"
    },
    {
      "id" : "Claim.item:secondCaseRate.modifier",
      "path" : "Claim.item.modifier",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.programCode",
      "path" : "Claim.item.programCode",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.location[x]",
      "path" : "Claim.item.location[x]",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.unitPrice",
      "path" : "Claim.item.unitPrice",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.factor",
      "path" : "Claim.item.factor",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.udi",
      "path" : "Claim.item.udi",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.bodySite",
      "path" : "Claim.item.bodySite",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.subSite",
      "path" : "Claim.item.subSite",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.encounter",
      "path" : "Claim.item.encounter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"]
      }]
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.id",
      "path" : "Claim.item.detail.id",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.extension",
      "path" : "Claim.item.detail.extension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.modifierExtension",
      "path" : "Claim.item.detail.modifierExtension",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.revenue",
      "path" : "Claim.item.detail.revenue",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.category",
      "path" : "Claim.item.detail.category",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.modifier",
      "path" : "Claim.item.detail.modifier",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.programCode",
      "path" : "Claim.item.detail.programCode",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.quantity",
      "path" : "Claim.item.detail.quantity",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.unitPrice",
      "path" : "Claim.item.detail.unitPrice",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.factor",
      "path" : "Claim.item.detail.factor",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.udi",
      "path" : "Claim.item.detail.udi",
      "max" : "0"
    },
    {
      "id" : "Claim.item:secondCaseRate.detail.subDetail",
      "path" : "Claim.item.detail.subDetail",
      "max" : "0"
    }]
  }
}

```
