臺灣健保事前審查實作指引
1.2.8 - ci-build

臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

Resource Profile: ClaimImmTWPAS - Mappings

Active as of 2026-10-14

Mappings for the Claim-immunologic-agent-twpas resource profile.

Mappings to Structures in this Implementation Guide

NameMapping to TWPAS Claim Immunologic Aagentdoco
Claim
    Claim / id
      Claim / meta
        Claim / meta / id
          Claim / meta / extension
            Claim / meta / versionId
              Claim / meta / lastUpdated
                Claim / meta / source
                  Claim / meta / profile
                    Claim / meta / security
                      Claim / meta / tag
                        Claim / implicitRules
                          Claim / language
                            Claim / text
                              Claim / contained
                                Claim / Slices for extension
                                  Claim / Slices for extension / extension:encounter
                                    Claim / modifierExtension
                                      Claim / Slices for identifier
                                        Claim / Slices for identifier / identifier:orig_file_name
                                          Claim / Slices for identifier / identifier:orig_file_name / id
                                            Claim / Slices for identifier / identifier:orig_file_name / extension
                                              Claim / Slices for identifier / identifier:orig_file_name / use
                                                Claim / Slices for identifier / identifier:orig_file_name / type
                                                  Claim / Slices for identifier / identifier:orig_file_name / system
                                                    Claim / Slices for identifier / identifier:orig_file_name / value
                                                    Claim / Slices for identifier / identifier:orig_file_name / period
                                                      Claim / Slices for identifier / identifier:orig_file_name / assigner
                                                        Claim / Slices for identifier / identifier:old_acpt_no
                                                          Claim / Slices for identifier / identifier:old_acpt_no / id
                                                            Claim / Slices for identifier / identifier:old_acpt_no / extension
                                                              Claim / Slices for identifier / identifier:old_acpt_no / use
                                                                Claim / Slices for identifier / identifier:old_acpt_no / type
                                                                  Claim / Slices for identifier / identifier:old_acpt_no / system
                                                                    Claim / Slices for identifier / identifier:old_acpt_no / value
                                                                    Claim / Slices for identifier / identifier:old_acpt_no / period
                                                                      Claim / Slices for identifier / identifier:old_acpt_no / assigner
                                                                        Claim / status
                                                                          Claim / type
                                                                            Claim / subType
                                                                              Claim / subType / id
                                                                                Claim / subType / extension
                                                                                  Claim / subType / coding
                                                                                    Claim / subType / coding / id
                                                                                      Claim / subType / coding / extension
                                                                                        Claim / subType / coding / system
                                                                                          Claim / subType / coding / version
                                                                                            Claim / subType / coding / code
                                                                                            Claim / subType / coding / display
                                                                                              Claim / subType / coding / userSelected
                                                                                                Claim / subType / text
                                                                                                  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:weight
                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:weight / id
                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:weight / extension
                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:weight / modifierExtension
                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:weight / sequence
                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:weight / category
                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:weight / code
                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:weight / timing[x]
                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x]
                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / id
                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / extension
                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / value
                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / comparator
                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / unit
                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / system
                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / code
                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / reason
                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:height
                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:height / id
                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:height / extension
                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:height / modifierExtension
                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:height / sequence
                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:height / category
                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:height / code
                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / timing[x]
                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:height / value[x]
                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:height / value[x] / id
                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:height / value[x] / extension
                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:height / value[x] / value
                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:height / value[x] / comparator
                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:height / value[x] / unit
                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:height / value[x] / system
                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / code
                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:height / reason
                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:pregnancy
                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:pregnancy / id
                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:pregnancy / extension
                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:pregnancy / modifierExtension
                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:pregnancy / sequence
                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:pregnancy / category
                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / code
                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:pregnancy / timing[x]
                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:pregnancy / value[x]
                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:pregnancy / reason
                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:imagingReport
                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:imagingReport / id
                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:imagingReport / extension
                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:imagingReport / modifierExtension
                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / sequence
                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:imagingReport / category
                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:imagingReport / code
                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:imagingReport / timing[x]
                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:imagingReport / value[x]
                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:imagingReport / reason
                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:cancerStage
                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:cancerStage / id
                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / extension
                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:cancerStage / modifierExtension
                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:cancerStage / sequence
                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:cancerStage / category
                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:cancerStage / code
                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:cancerStage / timing[x]
                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:cancerStage / value[x]
                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:cancerStage / reason
                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport
                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:examinationReport / id
                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:examinationReport / extension
                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:examinationReport / modifierExtension
                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:examinationReport / sequence
                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:examinationReport / category
                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:examinationReport / code
                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:examinationReport / timing[x]
                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / value[x]
                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:examinationReport / reason
                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:geneInfo
                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:geneInfo / id
                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:geneInfo / extension
                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:geneInfo / modifierExtension
                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:geneInfo / sequence
                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:geneInfo / category
                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / code
                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:geneInfo / timing[x]
                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:geneInfo / value[x]
                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:geneInfo / reason
                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:tests
                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:tests / id
                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:tests / extension
                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:tests / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / sequence
                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:tests / category
                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:tests / code
                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:tests / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:tests / value[x]
                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:tests / reason
                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:patientAssessment
                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:patientAssessment / id
                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / extension
                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:patientAssessment / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:patientAssessment / sequence
                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:patientAssessment / category
                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:patientAssessment / code
                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:patientAssessment / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:patientAssessment / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:patientAssessment / reason
                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest
                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:medicationRequest / id
                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:medicationRequest / extension
                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:medicationRequest / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:medicationRequest / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:medicationRequest / category
                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:medicationRequest / code
                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:medicationRequest / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:medicationRequest / reason
                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:radiotherapy
                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:radiotherapy / id
                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:radiotherapy / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:radiotherapy / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:radiotherapy / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:radiotherapy / category
                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / code
                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:radiotherapy / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:radiotherapy / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:radiotherapy / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:phototherapy
                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:phototherapy / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:phototherapy / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:phototherapy / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:phototherapy / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:phototherapy / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:phototherapy / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:phototherapy / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:phototherapy / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:carePlanDocument
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:medicalRecord / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:medicalRecord / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:medicalRecord / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:medicalRecord / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:medicalRecord / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:medicalRecord / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:medicalRecord / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:medicalRecord / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:bloodgroup
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:bloodgroup / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:bloodgroup / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:bloodgroup / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:bloodgroup / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:bloodgroup / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:bloodgroup / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:bloodgroup / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:bloodgroup / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:opd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:opd / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:opd / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:opd / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:opd / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:opd / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:opd / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:opd / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:opd / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:allergy / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / Slices for supportingInfo / supportingInfo:allergy / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / Slices for supportingInfo / supportingInfo:allergy / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / Slices for supportingInfo / supportingInfo:allergy / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / Slices for supportingInfo / supportingInfo:allergy / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / Slices for supportingInfo / supportingInfo:allergy / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / Slices for supportingInfo / supportingInfo:allergy / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / Slices for supportingInfo / supportingInfo:allergy / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / diagnosis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / diagnosis / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / diagnosis / Slices for extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / diagnosis / Slices for extension / extension:recordedDate
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / diagnosis / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / diagnosis / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / diagnosis / diagnosis[x] / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / diagnosis / diagnosis[x] / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / diagnosis / diagnosis[x] / Slices for coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / diagnosis / diagnosis[x] / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / diagnosis / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / diagnosis / type / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / diagnosis / type / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / type / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / diagnosis / type / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            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 / procedure[x] / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / procedure / procedure[x] / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / procedure / procedure[x] / Slices for coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / procedure / procedure[x] / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      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 / Slices for extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / item / Slices for extension / extension:requestedService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    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 / Slices for modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / item / Slices for modifier / modifier:continuation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / item / Slices for modifier / modifier:continuation / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / item / Slices for modifier / modifier:continuation / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / item / Slices for modifier / modifier:continuation / coding / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / item / Slices for modifier / modifier:continuation / coding / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / item / Slices for modifier / modifier:continuation / coding / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / item / Slices for modifier / modifier:continuation / coding / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / item / Slices for modifier / modifier:continuation / coding / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / item / Slices for modifier / modifier:continuation / coding / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / item / Slices for modifier / modifier:continuation / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / item / Slices for modifier / modifier:lot
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / item / Slices for modifier / modifier:lot / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / item / Slices for modifier / modifier:lot / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / item / Slices for modifier / modifier:lot / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / item / Slices for modifier / modifier:lot / coding / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / item / Slices for modifier / modifier:lot / coding / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / item / Slices for modifier / modifier:lot / coding / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / item / Slices for modifier / modifier:lot / coding / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / item / Slices for modifier / modifier:lot / coding / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / item / Slices for modifier / modifier:lot / coding / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / item / Slices for modifier / modifier:lot / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / item / programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / item / programCode / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / programCode / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / item / programCode / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / item / programCode / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / item / serviced[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Claim / item / location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Claim / item / quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Claim / item / quantity / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Claim / item / quantity / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / comparator
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Claim / item / quantity / unit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Claim / item / quantity / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Claim / item / quantity / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          doco Documentation for this format

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Mappings to other Structures

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          No Mappings Found

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Other Mappings

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Entity. Role
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • or Act
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / versionId
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / lastUpdated
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / source
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / profile
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / security
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / meta / tag
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / implicitRules
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / language
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Act.text?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / contained
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for extension / extension:encounter
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / use
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Role.code or implied by context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Role.code or implied by context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          II.root or Role.id.root
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / period
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Role.effectiveTime or implied by context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:orig_file_name / assigner
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / use
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Role.code or implied by context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Role.code or implied by context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          II.root or Role.id.root
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / period
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Role.effectiveTime or implied by context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for identifier / identifier:old_acpt_no / assigner
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / coding / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / subType / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / use
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / patient
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.subject
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.subject
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / billablePeriod
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.done[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / created
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.authoredOn
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.recorded
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / enterer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.author
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.performer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / provider
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.requester
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.source
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / priority
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.priority
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / fundsReserve
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / related
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / related / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / related / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / related / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / related / claim
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.replaces
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / related / relationship
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / related / reference
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / prescription
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / originalPrescription
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / payee
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / payee / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / payee / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / payee / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / payee / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / payee / party
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / referral
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.cause
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / facility
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.where[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / provider
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.actor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / responsible
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / role
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / careTeam / qualification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:All Slices
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:All Slices / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:All Slices / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:All Slices / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          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:weight
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • CO.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • MO.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • IVL.high or IVL.low depending on the value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / comparator
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          IVL properties
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / unit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          PQ.unit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • CO.codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.translation.codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / value[x] / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • MO.currency
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.translation.code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:weight / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • CO.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • MO.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • IVL.high or IVL.low depending on the value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / comparator
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          IVL properties
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / unit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          PQ.unit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • CO.codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.translation.codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / value[x] / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • MO.currency
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.translation.code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:height / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:pregnancy / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:imagingReport / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:cancerStage / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:examinationReport / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:geneInfo / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:tests / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:patientAssessment / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicationRequest / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:radiotherapy / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:phototherapy / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:carePlanDocument / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:medicalRecord / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:treatmentAssessment / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:bloodgroup / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:opd / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / Slices for supportingInfo / supportingInfo:allergy / reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.reasonReference
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / Slices for extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / Slices for extension / extension:recordedDate
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / diagnosis[x] / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / type / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / type / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / type / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / type / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / onAdmission
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / diagnosis / packageCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / date
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2023 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:icd10-pcs-2014 / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / Slices for coding / coding:medical-service-payment / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / procedure[x] / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / procedure / udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Coverage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / focal
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / coverage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / businessArrangement
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / preAuthRef
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / insurance / claimResponse
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / accident
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / accident / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / accident / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / accident / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / accident / date
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / accident / type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / accident / location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for extension / extension:requestedService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          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 / Slices for modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / coding / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:continuation / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / coding / userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / Slices for modifier / modifier:lot / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / programCode / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / programCode / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / programCode / coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / programCode / text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / serviced[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.done[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          FiveWs.where[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • CO.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • MO.value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • IVL.high or IVL.low depending on the value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / comparator
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          IVL properties
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / unit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          PQ.unit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • CO.codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.translation.codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / quantity / code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • MO.currency
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • PQ.translation.code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / bodySite
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / subSite
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / encounter
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Request.context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / detail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / detail / id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / detail / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / detail / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          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
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / detail / subDetail / extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Claim / item / detail / subDetail / modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          doco Documentation for this format