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 2026-08-10

Mappings for the Claim-twss-base resource profile.

Mappings to Structures in this Implementation Guide

NameMapping to TWSSBase Claimdoco
.. Claim
    ... id
      ... meta
        ... implicitRules
          ... language
            ... text
              ... contained
                ... extension
                  ... modifierExtension
                    ... identifier
                      ... status
                        ... type
                          ... subType
                            ... use
                              ... patient
                                ... billablePeriod
                                ... created
                                ... enterer
                                  ... insurer
                                    ... provider
                                      ... priority
                                        ... fundsReserve
                                          ... related
                                            .... id
                                              .... extension
                                                .... modifierExtension
                                                  .... claim
                                                    .... relationship
                                                      .... reference
                                                        ... prescription
                                                          ... originalPrescription
                                                            ... payee
                                                              .... id
                                                                .... extension
                                                                  .... modifierExtension
                                                                    .... type
                                                                      .... party
                                                                        ... referral
                                                                          ... facility
                                                                            ... careTeam
                                                                              .... id
                                                                                .... extension
                                                                                  .... modifierExtension
                                                                                    .... sequence
                                                                                      .... provider
                                                                                        .... responsible
                                                                                          .... role
                                                                                            .... qualification
                                                                                              ... Slices for supportingInfo
                                                                                              .... supportingInfo:All Slices
                                                                                              ..... id
                                                                                                ..... extension
                                                                                                  ..... modifierExtension
                                                                                                    ..... sequence
                                                                                                      ..... category
                                                                                                        ..... code
                                                                                                          ..... timing[x]
                                                                                                            ..... value[x]
                                                                                                              ..... reason
                                                                                                                .... supportingInfo:serviceCase
                                                                                                                ..... id
                                                                                                                  ..... extension
                                                                                                                    ..... modifierExtension
                                                                                                                      ..... sequence
                                                                                                                        ..... category
                                                                                                                          ...... id
                                                                                                                            ...... extension
                                                                                                                              ...... coding
                                                                                                                                ....... id
                                                                                                                                  ....... extension
                                                                                                                                    ....... system
                                                                                                                                      ....... version
                                                                                                                                        ....... code
                                                                                                                                          ....... display
                                                                                                                                            ....... userSelected
                                                                                                                                              ...... text
                                                                                                                                                ..... code
                                                                                                                                                  ..... timing[x]
                                                                                                                                                    ..... value[x]
                                                                                                                                                      ..... reason
                                                                                                                                                        .... supportingInfo:documentsComplete
                                                                                                                                                        ..... id
                                                                                                                                                          ..... extension
                                                                                                                                                            ..... modifierExtension
                                                                                                                                                              ..... sequence
                                                                                                                                                                ..... category
                                                                                                                                                                  ...... id
                                                                                                                                                                    ...... extension
                                                                                                                                                                      ...... coding
                                                                                                                                                                        ....... id
                                                                                                                                                                          ....... extension
                                                                                                                                                                            ....... system
                                                                                                                                                                              ....... version
                                                                                                                                                                                ....... code
                                                                                                                                                                                  ....... display
                                                                                                                                                                                    ....... userSelected
                                                                                                                                                                                      ...... text
                                                                                                                                                                                        ..... code
                                                                                                                                                                                          ..... timing[x]
                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                              ..... reason
                                                                                                                                                                                                .... supportingInfo:applicationChannel
                                                                                                                                                                                                ..... id
                                                                                                                                                                                                  ..... extension
                                                                                                                                                                                                    ..... modifierExtension
                                                                                                                                                                                                      ..... sequence
                                                                                                                                                                                                        ..... category
                                                                                                                                                                                                          ...... id
                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                              ...... coding
                                                                                                                                                                                                                ....... id
                                                                                                                                                                                                                  ....... extension
                                                                                                                                                                                                                    ....... system
                                                                                                                                                                                                                      ....... version
                                                                                                                                                                                                                        ....... code
                                                                                                                                                                                                                          ....... display
                                                                                                                                                                                                                            ....... userSelected
                                                                                                                                                                                                                              ...... text
                                                                                                                                                                                                                                ..... code
                                                                                                                                                                                                                                  ..... timing[x]
                                                                                                                                                                                                                                    ..... value[x]
                                                                                                                                                                                                                                      ..... reason
                                                                                                                                                                                                                                        .... supportingInfo:applicant
                                                                                                                                                                                                                                        ..... id
                                                                                                                                                                                                                                          ..... extension
                                                                                                                                                                                                                                            ..... modifierExtension
                                                                                                                                                                                                                                              ..... sequence
                                                                                                                                                                                                                                                ..... category
                                                                                                                                                                                                                                                  ...... id
                                                                                                                                                                                                                                                    ...... extension
                                                                                                                                                                                                                                                      ...... coding
                                                                                                                                                                                                                                                        ....... id
                                                                                                                                                                                                                                                          ....... extension
                                                                                                                                                                                                                                                            ....... system
                                                                                                                                                                                                                                                              ....... version
                                                                                                                                                                                                                                                                ....... code
                                                                                                                                                                                                                                                                  ....... display
                                                                                                                                                                                                                                                                    ....... userSelected
                                                                                                                                                                                                                                                                      ...... text
                                                                                                                                                                                                                                                                        ..... code
                                                                                                                                                                                                                                                                          ..... timing[x]
                                                                                                                                                                                                                                                                            ..... value[x]
                                                                                                                                                                                                                                                                              ..... reason
                                                                                                                                                                                                                                                                                .... supportingInfo:bankAccount
                                                                                                                                                                                                                                                                                ..... id
                                                                                                                                                                                                                                                                                  ..... extension
                                                                                                                                                                                                                                                                                    ..... modifierExtension
                                                                                                                                                                                                                                                                                      ..... sequence
                                                                                                                                                                                                                                                                                        ..... category
                                                                                                                                                                                                                                                                                          ...... id
                                                                                                                                                                                                                                                                                            ...... extension
                                                                                                                                                                                                                                                                                              ...... coding
                                                                                                                                                                                                                                                                                                ....... id
                                                                                                                                                                                                                                                                                                  ....... extension
                                                                                                                                                                                                                                                                                                    ....... system
                                                                                                                                                                                                                                                                                                      ....... version
                                                                                                                                                                                                                                                                                                        ....... code
                                                                                                                                                                                                                                                                                                          ....... display
                                                                                                                                                                                                                                                                                                            ....... userSelected
                                                                                                                                                                                                                                                                                                              ...... text
                                                                                                                                                                                                                                                                                                                ..... code
                                                                                                                                                                                                                                                                                                                  ..... timing[x]
                                                                                                                                                                                                                                                                                                                    ..... value[x]
                                                                                                                                                                                                                                                                                                                      ..... reason
                                                                                                                                                                                                                                                                                                                        ... diagnosis
                                                                                                                                                                                                                                                                                                                          .... id
                                                                                                                                                                                                                                                                                                                            .... extension
                                                                                                                                                                                                                                                                                                                              .... modifierExtension
                                                                                                                                                                                                                                                                                                                                .... sequence
                                                                                                                                                                                                                                                                                                                                  .... diagnosis[x]
                                                                                                                                                                                                                                                                                                                                    .... type
                                                                                                                                                                                                                                                                                                                                      .... onAdmission
                                                                                                                                                                                                                                                                                                                                        .... packageCode
                                                                                                                                                                                                                                                                                                                                          ... procedure
                                                                                                                                                                                                                                                                                                                                            .... id
                                                                                                                                                                                                                                                                                                                                              .... extension
                                                                                                                                                                                                                                                                                                                                                .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                  .... sequence
                                                                                                                                                                                                                                                                                                                                                    .... type
                                                                                                                                                                                                                                                                                                                                                      .... date
                                                                                                                                                                                                                                                                                                                                                        .... procedure[x]
                                                                                                                                                                                                                                                                                                                                                          .... udi
                                                                                                                                                                                                                                                                                                                                                            ... insurance
                                                                                                                                                                                                                                                                                                                                                              .... id
                                                                                                                                                                                                                                                                                                                                                                .... extension
                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                    .... sequence
                                                                                                                                                                                                                                                                                                                                                                      .... focal
                                                                                                                                                                                                                                                                                                                                                                        .... identifier
                                                                                                                                                                                                                                                                                                                                                                          .... coverage
                                                                                                                                                                                                                                                                                                                                                                            .... businessArrangement
                                                                                                                                                                                                                                                                                                                                                                              .... preAuthRef
                                                                                                                                                                                                                                                                                                                                                                                .... claimResponse
                                                                                                                                                                                                                                                                                                                                                                                  ... accident
                                                                                                                                                                                                                                                                                                                                                                                    .... id
                                                                                                                                                                                                                                                                                                                                                                                      .... extension
                                                                                                                                                                                                                                                                                                                                                                                        .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                          .... date
                                                                                                                                                                                                                                                                                                                                                                                            .... type
                                                                                                                                                                                                                                                                                                                                                                                              .... location[x]
                                                                                                                                                                                                                                                                                                                                                                                                ... item
                                                                                                                                                                                                                                                                                                                                                                                                  .... id
                                                                                                                                                                                                                                                                                                                                                                                                    .... extension
                                                                                                                                                                                                                                                                                                                                                                                                      .... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                        .... sequence
                                                                                                                                                                                                                                                                                                                                                                                                          .... careTeamSequence
                                                                                                                                                                                                                                                                                                                                                                                                            .... diagnosisSequence
                                                                                                                                                                                                                                                                                                                                                                                                              .... procedureSequence
                                                                                                                                                                                                                                                                                                                                                                                                                .... informationSequence
                                                                                                                                                                                                                                                                                                                                                                                                                  .... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                    .... category
                                                                                                                                                                                                                                                                                                                                                                                                                      .... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                      .... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                        .... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                          .... serviced[x]
                                                                                                                                                                                                                                                                                                                                                                                                                            .... location[x]
                                                                                                                                                                                                                                                                                                                                                                                                                              .... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                .... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                  .... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                  .... net
                                                                                                                                                                                                                                                                                                                                                                                                                                    .... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                      .... bodySite
                                                                                                                                                                                                                                                                                                                                                                                                                                        .... subSite
                                                                                                                                                                                                                                                                                                                                                                                                                                          .... encounter
                                                                                                                                                                                                                                                                                                                                                                                                                                            .... detail
                                                                                                                                                                                                                                                                                                                                                                                                                                              ..... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                ..... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                    ..... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                      ..... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                                                        ..... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                              ..... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                ..... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ..... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ..... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ..... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... subDetail
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... id
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... extension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ...... modifierExtension
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... sequence
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ...... revenue
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ...... productOrService
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ...... modifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... programCode
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... quantity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ...... unitPrice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ...... net
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... udi
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ... total

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          doco Documentation for this format

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Mappings to other Structures

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          No Mappings Found

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Other Mappings

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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          doco Documentation for this format