臺灣社政領域基礎實作指引
0.0.1 - ci-build

臺灣社政領域基礎實作指引, published by 衛生福利部社會及家庭署. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/sfaassn2025-source/base/ and changes regularly. See the Directory of published versions

Resource Profile: ClaimTWSSBase - Mappings

Draft as of 2026-09-23

Mappings for the Claim-twss-base resource profile.

Mappings to Structures in this Implementation Guide

NameMapping to TWSSBase Claimdoco
.. Claim
    ... id
      ... meta
        ... implicitRules
          ... language
            ... text
              ... contained
                ... extension
                  ... modifierExtension
                    ... identifier
                      ... status
                        ... type
                          ... subType
                            ... use
                              ... patient
                                ... billablePeriod
                                  ... created
                                  ... enterer
                                    ... insurer
                                      ... provider
                                        ... priority
                                          ... fundsReserve
                                            ... related
                                              .... id
                                                .... extension
                                                  .... modifierExtension
                                                    .... claim
                                                      .... relationship
                                                        .... reference
                                                          ... prescription
                                                            ... originalPrescription
                                                              ... payee
                                                                .... id
                                                                  .... extension
                                                                    .... modifierExtension
                                                                      .... type
                                                                        .... party
                                                                          ... referral
                                                                            ... facility
                                                                              ... careTeam
                                                                                .... id
                                                                                  .... extension
                                                                                    .... modifierExtension
                                                                                      .... sequence
                                                                                        .... provider
                                                                                          .... responsible
                                                                                            .... role
                                                                                              .... qualification
                                                                                                ... Slices for supportingInfo
                                                                                                .... supportingInfo:All Slices
                                                                                                ..... id
                                                                                                  ..... extension
                                                                                                    ..... modifierExtension
                                                                                                      ..... sequence
                                                                                                        ..... category
                                                                                                          ..... code
                                                                                                            ..... timing[x]
                                                                                                              ..... value[x]
                                                                                                                ..... reason
                                                                                                                  .... supportingInfo:serviceCase
                                                                                                                  ..... id
                                                                                                                    ..... extension
                                                                                                                      ..... modifierExtension
                                                                                                                        ..... sequence
                                                                                                                          ..... category
                                                                                                                            ...... id
                                                                                                                              ...... extension
                                                                                                                                ...... coding
                                                                                                                                  ....... id
                                                                                                                                    ....... extension
                                                                                                                                      ....... system
                                                                                                                                        ....... version
                                                                                                                                          ....... code
                                                                                                                                            ....... display
                                                                                                                                              ....... userSelected
                                                                                                                                                ...... text
                                                                                                                                                  ..... code
                                                                                                                                                    ..... timing[x]
                                                                                                                                                      ..... value[x]
                                                                                                                                                        ..... reason
                                                                                                                                                          .... supportingInfo:documentsComplete
                                                                                                                                                          ..... id
                                                                                                                                                            ..... extension
                                                                                                                                                              ..... modifierExtension
                                                                                                                                                                ..... sequence
                                                                                                                                                                  ..... category
                                                                                                                                                                    ...... id
                                                                                                                                                                      ...... extension
                                                                                                                                                                        ...... coding
                                                                                                                                                                          ....... id
                                                                                                                                                                            ....... extension
                                                                                                                                                                              ....... system
                                                                                                                                                                                ....... version
                                                                                                                                                                                  ....... code
                                                                                                                                                                                    ....... display
                                                                                                                                                                                      ....... userSelected
                                                                                                                                                                                        ...... text
                                                                                                                                                                                          ..... code
                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                              ..... value[x]
                                                                                                                                                                                                ..... reason
                                                                                                                                                                                                  .... supportingInfo:applicationChannel
                                                                                                                                                                                                  ..... id
                                                                                                                                                                                                    ..... extension
                                                                                                                                                                                                      ..... modifierExtension
                                                                                                                                                                                                        ..... sequence
                                                                                                                                                                                                          ..... category
                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                              ...... extension
                                                                                                                                                                                                                ...... coding
                                                                                                                                                                                                                  ....... id
                                                                                                                                                                                                                    ....... extension
                                                                                                                                                                                                                      ....... system
                                                                                                                                                                                                                        ....... version
                                                                                                                                                                                                                          ....... code
                                                                                                                                                                                                                            ....... display
                                                                                                                                                                                                                              ....... userSelected
                                                                                                                                                                                                                                ...... text
                                                                                                                                                                                                                                  ..... code
                                                                                                                                                                                                                                    ..... timing[x]
                                                                                                                                                                                                                                      ..... value[x]
                                                                                                                                                                                                                                        ..... reason
                                                                                                                                                                                                                                          .... supportingInfo:applicant
                                                                                                                                                                                                                                          ..... id
                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                              ..... modifierExtension
                                                                                                                                                                                                                                                ..... sequence
                                                                                                                                                                                                                                                  ..... category
                                                                                                                                                                                                                                                    ...... id
                                                                                                                                                                                                                                                      ...... extension
                                                                                                                                                                                                                                                        ...... coding
                                                                                                                                                                                                                                                          ....... id
                                                                                                                                                                                                                                                            ....... extension
                                                                                                                                                                                                                                                              ....... system
                                                                                                                                                                                                                                                                ....... version
                                                                                                                                                                                                                                                                  ....... code
                                                                                                                                                                                                                                                                    ....... display
                                                                                                                                                                                                                                                                      ....... userSelected
                                                                                                                                                                                                                                                                        ...... text
                                                                                                                                                                                                                                                                          ..... code
                                                                                                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                                                                                                              ..... value[x]
                                                                                                                                                                                                                                                                                ..... reason
                                                                                                                                                                                                                                                                                  .... supportingInfo:bankAccount
                                                                                                                                                                                                                                                                                  ..... id
                                                                                                                                                                                                                                                                                    ..... extension
                                                                                                                                                                                                                                                                                      ..... modifierExtension
                                                                                                                                                                                                                                                                                        ..... sequence
                                                                                                                                                                                                                                                                                          ..... category
                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                              ...... extension
                                                                                                                                                                                                                                                                                                ...... coding
                                                                                                                                                                                                                                                                                                  ....... id
                                                                                                                                                                                                                                                                                                    ....... extension
                                                                                                                                                                                                                                                                                                      ....... system
                                                                                                                                                                                                                                                                                                        ....... version
                                                                                                                                                                                                                                                                                                          ....... code
                                                                                                                                                                                                                                                                                                            ....... display
                                                                                                                                                                                                                                                                                                              ....... userSelected
                                                                                                                                                                                                                                                                                                                ...... text
                                                                                                                                                                                                                                                                                                                  ..... code
                                                                                                                                                                                                                                                                                                                    ..... timing[x]
                                                                                                                                                                                                                                                                                                                      ..... value[x]
                                                                                                                                                                                                                                                                                                                        ..... reason
                                                                                                                                                                                                                                                                                                                          ... diagnosis
                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                              .... extension
                                                                                                                                                                                                                                                                                                                                .... modifierExtension
                                                                                                                                                                                                                                                                                                                                  .... sequence
                                                                                                                                                                                                                                                                                                                                    .... diagnosis[x]
                                                                                                                                                                                                                                                                                                                                      .... type
                                                                                                                                                                                                                                                                                                                                        .... onAdmission
                                                                                                                                                                                                                                                                                                                                          .... packageCode
                                                                                                                                                                                                                                                                                                                                            ... procedure
                                                                                                                                                                                                                                                                                                                                              .... id
                                                                                                                                                                                                                                                                                                                                                .... extension
                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                    .... sequence
                                                                                                                                                                                                                                                                                                                                                      .... type
                                                                                                                                                                                                                                                                                                                                                        .... date
                                                                                                                                                                                                                                                                                                                                                          .... procedure[x]
                                                                                                                                                                                                                                                                                                                                                            .... udi
                                                                                                                                                                                                                                                                                                                                                              ... insurance
                                                                                                                                                                                                                                                                                                                                                                .... id
                                                                                                                                                                                                                                                                                                                                                                  .... extension
                                                                                                                                                                                                                                                                                                                                                                    .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                      .... sequence
                                                                                                                                                                                                                                                                                                                                                                        .... focal
                                                                                                                                                                                                                                                                                                                                                                          .... identifier
                                                                                                                                                                                                                                                                                                                                                                            .... coverage
                                                                                                                                                                                                                                                                                                                                                                              .... businessArrangement
                                                                                                                                                                                                                                                                                                                                                                                .... preAuthRef
                                                                                                                                                                                                                                                                                                                                                                                  .... claimResponse
                                                                                                                                                                                                                                                                                                                                                                                    ... accident
                                                                                                                                                                                                                                                                                                                                                                                      .... id
                                                                                                                                                                                                                                                                                                                                                                                        .... extension
                                                                                                                                                                                                                                                                                                                                                                                          .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                            .... date
                                                                                                                                                                                                                                                                                                                                                                                              .... type
                                                                                                                                                                                                                                                                                                                                                                                                .... location[x]
                                                                                                                                                                                                                                                                                                                                                                                                  ... item
                                                                                                                                                                                                                                                                                                                                                                                                    .... id
                                                                                                                                                                                                                                                                                                                                                                                                      .... extension
                                                                                                                                                                                                                                                                                                                                                                                                        .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                          .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                            .... careTeamSequence
                                                                                                                                                                                                                                                                                                                                                                                                              .... diagnosisSequence
                                                                                                                                                                                                                                                                                                                                                                                                                .... procedureSequence
                                                                                                                                                                                                                                                                                                                                                                                                                  .... informationSequence
                                                                                                                                                                                                                                                                                                                                                                                                                    .... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                      .... category
                                                                                                                                                                                                                                                                                                                                                                                                                        .... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                        .... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                          .... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                            .... serviced[x]
                                                                                                                                                                                                                                                                                                                                                                                                                              .... location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                .... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                  .... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                    .... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                    .... net
                                                                                                                                                                                                                                                                                                                                                                                                                                      .... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                        .... bodySite
                                                                                                                                                                                                                                                                                                                                                                                                                                          .... subSite
                                                                                                                                                                                                                                                                                                                                                                                                                                            .... encounter
                                                                                                                                                                                                                                                                                                                                                                                                                                              .... detail
                                                                                                                                                                                                                                                                                                                                                                                                                                                ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                    ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                      ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                        ..... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                              ..... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                ..... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ..... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ..... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ..... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... subDetail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ...... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ...... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ...... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ...... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ...... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ...... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ... 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
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... meta
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... implicitRules
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... language
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Act.text?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... contained
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.status
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... subType
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... use
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.class
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... patient
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.subject
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.subject
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... billablePeriod
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.done[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... created
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.authoredOn
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.recorded
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... enterer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.author
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... insurer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.performer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... provider
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.requester
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.source
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... priority
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.priority
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... fundsReserve
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... related
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... claim
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.replaces
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... relationship
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... reference
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... prescription
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... originalPrescription
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... payee
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... party
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... referral
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.cause
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... facility
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.where[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... careTeam
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... provider
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.actor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... responsible
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... role
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... qualification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... Slices for supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... supportingInfo:All Slices
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... supportingInfo:serviceCase
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... supportingInfo:documentsComplete
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... supportingInfo:applicationChannel
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... supportingInfo:applicant
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... supportingInfo:bankAccount
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.supportingInfo
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... coding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • union(.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • ./translation)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... system
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystem
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... version
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./codeSystemVersion
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... display
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CV.displayName
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ....... userSelected
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CD.codingRationale
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... timing[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... reason
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... diagnosis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.reasonReference
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... diagnosis[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... onAdmission
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... packageCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... procedure
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... date
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... procedure[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... insurance
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Coverage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... focal
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... coverage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... businessArrangement
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... preAuthRef
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... claimResponse
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... accident
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... date
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... type
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... item
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... careTeamSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... diagnosisSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... procedureSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... informationSequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... serviced[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.done[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FiveWs.where[x]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... bodySite
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... subSite
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... encounter
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Request.context
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... detail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... subDetail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            n/a
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            N/A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... total

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            doco Documentation for this format