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 2026-09-03

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
                ... Slices for extension
                  .... extension:applicationReviewStatus
                    ... 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
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ... Slices for extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... extension:applicationReviewStatus
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ... 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