Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit Profile - TTL Representation - Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam v0.5.1

Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Draft for Community Review (v0.5.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Hồ sơ tài nguyên: Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit Profile - Hồ sơ TTL

Draft tại thời điểm 2026-03-21
Biểu diễn TTL của vn-core-explanation-of-benefit hồ sơ tài nguyên.
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "vn-core-explanation-of-benefit"] ; # 
  fhir:language [ fhir:v "vi"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition vn-core-explanation-of-benefit</b></p><a name=\"vn-core-explanation-of-benefit\"> </a><a name=\"hcvn-core-explanation-of-benefit\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit\">ExplanationOfBenefit</a><a name=\"ExplanationOfBenefit\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/explanationofbenefit.html\">ExplanationOfBenefit</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Explanation of Benefit resource</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.extension\">Slices for extension</a><a name=\"ExplanationOfBenefit.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Extension</span><br/><span style=\"font-weight:bold\">Slice: </span>Unordered, Open by value:url</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.extension:costSummary\" title=\"Extension URL = http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary\">extension:costSummary</a><a name=\"ExplanationOfBenefit.extension.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(Complex)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-vn-ext-claim-cost-summary.html\">http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary</a></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.extension:paymentPeriod\" title=\"Extension URL = http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period\">extension:paymentPeriod</a><a name=\"ExplanationOfBenefit.extension.3\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(Complex)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-vn-ext-claim-payment-period.html\">http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period</a></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.extension:paymentMethod\" title=\"Extension URL = http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method\">extension:paymentMethod</a><a name=\"ExplanationOfBenefit.extension.4\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-vn-ext-payment-method.html\">http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method</a><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-payment-method-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-payment-method-vs\" class=\"binding\">Phương thức thanh toán BHYT — VN Payment Method ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.status\">status</a><a name=\"ExplanationOfBenefit.status\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Trạng thái giải trình</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.type\">type</a><a name=\"ExplanationOfBenefit.type\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Loại: institutional (nội trú), professional (ngoại trú)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.use\">use</a><a name=\"ExplanationOfBenefit.use\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Mục đích: claim (thanh toán)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.patient\">patient</a><a name=\"ExplanationOfBenefit.patient\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-vn-core-patient.html\">Bệnh nhân VN Core — VN Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Bệnh nhân</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.created\">created</a><a name=\"ExplanationOfBenefit.created\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Ngày tạo giải trình</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.insurer\">insurer</a><a name=\"ExplanationOfBenefit.insurer\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-vn-core-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cơ quan BHXH thanh toán</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.provider\">provider</a><a name=\"ExplanationOfBenefit.provider\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-vn-core-organization.html\">Cơ sở y tế VN Core — VN Core Organization Profile</a> | <a href=\"StructureDefinition-vn-core-practitioner.html\">Nhân viên y tế VN Core — VN Core Practitioner Profile</a> | <a href=\"StructureDefinition-vn-core-practitioner-role.html\">Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cơ sở KCB thực hiện</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.outcome\">outcome</a><a name=\"ExplanationOfBenefit.outcome\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Kết quả giám định: complete | partial | error</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.diagnosis\">diagnosis</a><a name=\"ExplanationOfBenefit.diagnosis\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Chẩn đoán — ICD-10 VN</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.diagnosis.sequence\">sequence</a><a name=\"ExplanationOfBenefit.diagnosis.sequence\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Diagnosis instance identifier</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck113.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.diagnosis.diagnosis[x]\">Slices for diagnosis[x]</a><a name=\"ExplanationOfBenefit.diagnosis.diagnosis_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">1</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"font-style: italic; font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Nature of illness or problem</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by type:$this</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.diagnosis.diagnosis[x]:diagnosisCodeableConcept\" title=\"Slice diagnosisCodeableConcept\">diagnosis[x]:diagnosisCodeableConcept</a><a name=\"ExplanationOfBenefit.diagnosis.diagnosis_x_.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Mã bệnh ICD-10 VN<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-condition-code-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-condition-code-vs\" class=\"binding\">Mã chẩn đoán — VN Core Condition Code ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.diagnosis.type\">type</a><a name=\"ExplanationOfBenefit.diagnosis.type\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Loại chẩn đoán (chính/phụ)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.procedure\">procedure</a><a name=\"ExplanationOfBenefit.procedure\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thủ thuật/phẫu thuật — ICD-9-CM</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.procedure.procedure[x]\">Slices for procedure[x]</a><a name=\"ExplanationOfBenefit.procedure.procedure_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">1</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"font-style: italic; font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Specific clinical procedure</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by type:$this</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.procedure.procedure[x]:procedureCodeableConcept\" title=\"Slice procedureCodeableConcept\">procedure[x]:procedureCodeableConcept</a><a name=\"ExplanationOfBenefit.procedure.procedure_x_.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Specific clinical procedure</span><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-procedure-code-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-procedure-code-vs\" class=\"binding\">Mã thủ thuật/dịch vụ kỹ thuật — VN Core Procedure Code ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.insurance\">insurance</a><a name=\"ExplanationOfBenefit.insurance\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thông tin BHYT</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.insurance.focal\">focal</a><a name=\"ExplanationOfBenefit.insurance.focal\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Coverage to be used for adjudication</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.insurance.coverage\">coverage</a><a name=\"ExplanationOfBenefit.insurance.coverage\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-vn-core-coverage.html\">Thẻ BHYT VN Core — VN Core Coverage Profile</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thẻ BHYT (Coverage)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item\">item</a><a name=\"ExplanationOfBenefit.item\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck113.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension\">Slices for extension</a><a name=\"ExplanationOfBenefit.item.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Extension</span><br/><span style=\"font-weight:bold\">Slice: </span>Unordered, Open by value:url</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1134.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension:paymentSource\" title=\"Extension URL = http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source\">extension:paymentSource</a><a name=\"ExplanationOfBenefit.item.extension.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nguồn chi trả dòng chi phí (NGUON_CTRA)<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-vn-ext-payment-source.html\">http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source</a><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-payment-source-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-payment-source-vs\" class=\"binding\">Nguồn chi trả — Vietnam Payment Source ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1134.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension:recurrentWoundBenefit\" title=\"Extension URL = http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-recurrent-wound-benefit\">extension:recurrentWoundBenefit</a><a name=\"ExplanationOfBenefit.item.extension.3\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Flag VET_THUONG_TP cho dòng thuốc/DVKT/VTYT<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-vn-ext-recurrent-wound-benefit.html\">http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-recurrent-wound-benefit</a></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1134.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension:tenderInfo\" title=\"Extension URL = http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info\">extension:tenderInfo</a><a name=\"ExplanationOfBenefit.item.extension.4\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thông tin thầu dòng chi phí (TT_THAU)<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-vn-ext-tender-info.html\">http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info</a></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.extension:processingMethod\" title=\"Extension URL = http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method\">extension:processingMethod</a><a name=\"ExplanationOfBenefit.item.extension.5\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Phương pháp chế biến YHCT (MA_PP_CHEBIEN)<br/><span style=\"font-weight:bold\">URL: </span><a href=\"StructureDefinition-vn-ext-traditional-processing-method.html\">http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method</a></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.sequence\">sequence</a><a name=\"ExplanationOfBenefit.item.sequence\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Item instance identifier</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.category\">category</a><a name=\"ExplanationOfBenefit.item.category\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nhóm chi phí (QĐ 697)<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-cost-category-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-cost-category-vs\" class=\"binding\">Danh mục chi phí KCB — Vietnam Cost Category ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.productOrService\">productOrService</a><a name=\"ExplanationOfBenefit.item.productOrService\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Mã dịch vụ/thuốc/TBYT</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.quantity\">quantity</a><a name=\"ExplanationOfBenefit.item.quantity\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#SimpleQuantity\" title=\"Quantity\">SimpleQuantity(4.0.1)</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Số lượng</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.unitPrice\">unitPrice</a><a name=\"ExplanationOfBenefit.item.unitPrice\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Đơn giá</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.net\">net</a><a name=\"ExplanationOfBenefit.item.net\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thành tiền</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.adjudication\" title=\"Kết quả giám định từng dòng nếu hệ thống nguồn có line-level adjudication. EOB có thể chỉ mang total-level adjudication trong một số báo cáo/patient-facing use case, nên element này không bị bắt buộc như VNCoreClaimResponse.\">adjudication</a><a name=\"ExplanationOfBenefit.item.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Kết quả giám định từng dòng</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.adjudication.category\" title=\"Category giám định từng dòng. Ưu tiên HL7 adjudication (`submitted`, `eligible`, `copay`, `benefit`) cho line-level adjudication; các subtotal cục bộ của VN Core không dùng ở line-level.\">category</a><a name=\"ExplanationOfBenefit.item.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-adjudication.html\" title=\"http://hl7.org/fhir/ValueSet/adjudication\" class=\"binding\">AdjudicationValueCodes</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.item.adjudication.amount\">amount</a><a name=\"ExplanationOfBenefit.item.adjudication.amount\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Monetary amount</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.total\">total</a><a name=\"ExplanationOfBenefit.total\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Tổng hợp theo nhóm giám định</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.total.category\" title=\"Category tổng hợp tài chính/adjudication. Dùng ConceptMap `vn-cm-bhyt-financial-field-to-adjudication` để map các trường tổng tiền BHYT như `T_TONGCHI`, `T_TONGCHI_BH`, `T_BHTT`, `T_BNCCT`, `T_BNTT`, `T_NGUONKHAC`, `T_NGOAIDS`, `T_THUOC`, `T_VTYT`. Không encode công thức quyền lợi hoặc adjudication business rule tại profile.\">category</a><a name=\"ExplanationOfBenefit.total.category\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Loại tổng: submitted | eligible | copay | benefit hoặc category BHYT cục bộ<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-vn-bhyt-adjudication-category-vs.html\" title=\"http://fhir.hl7.org.vn/core/ValueSet/vn-bhyt-adjudication-category-vs\" class=\"binding\">Loại adjudication BHYT — BHYT Adjudication Category ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.total.amount\">amount</a><a name=\"ExplanationOfBenefit.total.amount\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Số tiền</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.payment\">payment</a><a name=\"ExplanationOfBenefit.payment\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thông tin thanh toán</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.payment.type\">type</a><a name=\"ExplanationOfBenefit.payment.type\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Loại thanh toán</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.payment.amount\">amount</a><a name=\"ExplanationOfBenefit.payment.amount\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Số tiền BHYT thanh toán</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-vn-core-explanation-of-benefit-definitions.html#ExplanationOfBenefit.benefitPeriod\">benefitPeriod</a><a name=\"ExplanationOfBenefit.benefitPeriod\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Kỳ quyền lợi BHYT</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-explanation-of-benefit>
  ] ; # 
  fhir:version [ fhir:v "0.5.1"] ; # 
  fhir:name [ fhir:v "VNCoreExplanationOfBenefit"] ; # 
  fhir:title [ fhir:v "Giải trình quyền lợi BHYT VN Core — VN Core ExplanationOfBenefit Profile"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:date [ fhir:v "2026-03-21"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Omi HealthTech / VN Core FHIR Community Initiative"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Omi HealthTech / VN Core FHIR Community Initiative" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://hl7.org.vn" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "info@hl7.org.vn" ]     ] )
  ] [
fhir:name [ fhir:v "Omi HealthTech (OmiGroup)" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://omihealthtech.vn" ]     ] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://omigroup.vn" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "healthtech@omigroup.vn" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Profile ExplanationOfBenefit cho Việt Nam. Giải trình quyền lợi BHYT — kết quả giám định và thanh toán.\nMapping từ chuẩn dữ liệu đầu ra phục vụ BHXH hiện hành (QĐ 130 → QĐ 4750 → QĐ 3176).\nBảng kê chi phí theo QĐ 697/QĐ-BYT (19/3/2026) — 12 danh mục, 14 mã.\nCăn cứ:\n- QĐ 3176/QĐ-BYT (29/10/2024) — Chuẩn dữ liệu đầu ra phục vụ BHXH\n- QĐ 697/QĐ-BYT (19/3/2026) — Mẫu bảng kê chi phí KCB\n- Luật 51/2024/QH15 (27/11/2024) — sửa đổi Luật BHYT, hiệu lực 01/7/2025\n- NĐ 188/2025/NĐ-CP — ban hành 01/7/2025, hiệu lực 15/8/2025 — Hướng dẫn thi hành Luật BHYT\n- NĐ 90/2026/NĐ-CP (ban hành 30/03/2026, hiệu lực 15/05/2026 — future-effective) — xử phạt VPHC y tế, tham chiếu khi hồ sơ thanh toán/giải trình sai lệch\n- Luật BHYT 2008 sửa đổi 2014"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "VN" ] ;
fhir:display [ fhir:v "Viet Nam" ]     ] )
  ] ) ; # 
  fhir:fhirVersion [ fhir:v "4.0.1"] ; # 
  fhir:mapping ( [
fhir:identity [ fhir:v "workflow" ] ;
fhir:uri [
fhir:v "http://hl7.org/fhir/workflow"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/workflow>     ] ;
fhir:name [ fhir:v "Workflow Pattern" ]
  ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:uri [
fhir:v "http://hl7.org/fhir/fivews"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/fivews>     ] ;
fhir:name [ fhir:v "FiveWs Pattern Mapping" ]
  ] [
fhir:identity [ fhir:v "v2" ] ;
fhir:uri [
fhir:v "http://hl7.org/v2"^^xsd:anyURI ;
fhir:l <http://hl7.org/v2>     ] ;
fhir:name [ fhir:v "HL7 v2 Mapping" ]
  ] [
fhir:identity [ fhir:v "rim" ] ;
fhir:uri [
fhir:v "http://hl7.org/v3"^^xsd:anyURI ;
fhir:l <http://hl7.org/v3>     ] ;
fhir:name [ fhir:v "RIM Mapping" ]
  ] ) ; # 
  fhir:kind [ fhir:v "resource"] ; # 
  fhir:abstract [ fhir:v false] ; # 
  fhir:type [
fhir:v "ExplanationOfBenefit"^^xsd:anyURI ;
fhir:l fhir:ExplanationOfBenefit
  ] ; # 
  fhir:baseDefinition [
fhir:v "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit>
  ] ; # 
  fhir:derivation [ fhir:v "constraint"] ; # 
  fhir:snapshot [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version>       ] ;
fhir:value [
a fhir:String ;
fhir:v "4.0.1"       ]     ] ) ;
    ( fhir:element [
fhir:id [ fhir:v "ExplanationOfBenefit" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit" ] ;
fhir:short [ fhir:v "Explanation of Benefit resource" ] ;
fhir:definition [ fhir:v "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided." ] ;
      ( fhir:alias [ fhir:v "EOB" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:constraint [
fhir:key [ fhir:v "dom-2" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
fhir:expression [ fhir:v "contained.contained.empty()" ] ;
fhir:xpath [ fhir:v "not(parent::f:contained and f:contained)" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
fhir:key [ fhir:v "dom-3" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ;
fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
fhir:xpath [ fhir:v "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
fhir:key [ fhir:v "dom-4" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
fhir:key [ fhir:v "dom-5" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
fhir:expression [ fhir:v "contained.meta.security.empty()" ] ;
fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:security))" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice>           ] ;
fhir:value [
a fhir:Boolean ;
fhir:v true           ]         ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation>           ] ;
fhir:value [
a fhir:Markdown ;
fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."           ]         ] ) ;
fhir:key [ fhir:v "dom-6" ] ;
fhir:severity [ fhir:v "warning" ] ;
fhir:human [ fhir:v "A resource should have narrative for robust management" ] ;
fhir:expression [ fhir:v "text.`div`.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:text/h:div)" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "Entity. Role, or Act" ]       ] [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.id" ] ;
fhir:short [ fhir:v "Logical id of this artifact" ] ;
fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
fhir:comment [ fhir:v "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "id"^^xsd:anyURI ;
fhir:l fhir:id           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.meta" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.meta" ] ;
fhir:short [ fhir:v "Metadata about the resource" ] ;
fhir:definition [ fhir:v "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.meta" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Meta"^^xsd:anyURI ;
fhir:l fhir:Meta         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.implicitRules" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.implicitRules" ] ;
fhir:short [ fhir:v "A set of rules under which this content was created" ] ;
fhir:definition [ fhir:v "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ;
fhir:comment [ fhir:v "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.implicitRules" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "uri"^^xsd:anyURI ;
fhir:l fhir:uri         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ;
fhir:isSummary [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.language" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.language" ] ;
fhir:short [ fhir:v "Language of the resource content" ] ;
fhir:definition [ fhir:v "The base language in which the resource is written." ] ;
fhir:comment [ fhir:v "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Resource.language" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "code"^^xsd:anyURI ;
fhir:l fhir:code         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet>           ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/fhir/ValueSet/all-languages"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/all-languages>           ]         ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Language"           ]         ] ) ;
fhir:strength [ fhir:v "preferred" ] ;
fhir:description [ fhir:v "A human language." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/languages|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/languages?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.text" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.text" ] ;
fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ;
fhir:definition [ fhir:v "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ;
fhir:comment [ fhir:v "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ;
      ( fhir:alias [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.text" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Narrative"^^xsd:anyURI ;
fhir:l fhir:Narrative         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "Act.text?" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.contained" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.contained" ] ;
fhir:short [ fhir:v "Contained, inline Resources" ] ;
fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ;
fhir:comment [ fhir:v "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ;
      ( fhir:alias [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.contained" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Resource"^^xsd:anyURI ;
fhir:l fhir:Resource         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Extension" ] ;
fhir:definition [ fhir:v "An Extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension:costSummary" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:sliceName [ fhir:v "costSummary" ] ;
fhir:short [ fhir:v "Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác" ] ;
fhir:definition [ fhir:v "Extension tổng hợp chi phí KCB theo từng nhóm nguồn chi trả.\nMapping từ XML 3176: T_THUOC, T_VTYT, T_BNCCT, T_BNTT, T_BHTT, T_NGUONKHAC, T_NGOAIDS.\nCăn cứ: QĐ 130/QĐ-BYT → QĐ 3176, QĐ 697/QĐ-BYT.\nCác field tổng tiền này được chuẩn hóa thêm qua `VNBHYTFinancialFieldCS` và ConceptMap `vn-cm-bhyt-financial-field-to-adjudication`; extension chỉ giữ số tiền tổng hợp, không encode công thức adjudication của payer.\nNguồn thiết kế: OHP Data Processor (Claim extensions production mapping)." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary>         ] )       ] ) ;
      ( fhir:condition [ fhir:v "ele-1" ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension:paymentPeriod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:sliceName [ fhir:v "paymentPeriod" ] ;
fhir:short [ fhir:v "Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT" ] ;
fhir:definition [ fhir:v "Năm và tháng thanh toán BHYT.\nMapping XML 3176: NAM_QT (năm), THANG_QT (tháng).\nNguồn thiết kế: OHP Data Processor (claim-payment-year, claim-payment-month)." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period>         ] )       ] ) ;
      ( fhir:condition [ fhir:v "ele-1" ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension:paymentMethod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:sliceName [ fhir:v "paymentMethod" ] ;
fhir:short [ fhir:v "Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT" ] ;
fhir:definition [ fhir:v "Phương thức thanh toán KCB BHYT: phí dịch vụ (FFS), định suất (Capitation), hoặc theo trường hợp bệnh (DRG).\nMapping XML 3176: MA_PTTT_QT.\nNguồn thiết kế: OHP Data Processor (encounter-payment-method)." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method>         ] )       ] ) ;
      ( fhir:condition [ fhir:v "ele-1" ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "DomainResource.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.identifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.identifier" ] ;
fhir:short [ fhir:v "Business Identifier for the resource" ] ;
fhir:definition [ fhir:v "A unique identifier assigned to this explanation of benefit." ] ;
fhir:requirements [ fhir:v "Allows EOBs to be distinguished and referenced." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.identifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Identifier"^^xsd:anyURI ;
fhir:l fhir:Identifier         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.identifier" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.identifier" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.status" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.status" ] ;
fhir:short [ fhir:v "Trạng thái giải trình" ] ;
fhir:definition [ fhir:v "The status of the resource instance." ] ;
fhir:comment [ fhir:v "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ;
fhir:requirements [ fhir:v "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.status" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "code"^^xsd:anyURI ;
fhir:l fhir:code         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ;
fhir:isSummary [ fhir:v true ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ExplanationOfBenefitStatus"           ]         ] ) ;
fhir:strength [ fhir:v "required" ] ;
fhir:description [ fhir:v "A code specifying the state of the resource instance." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/explanationofbenefit-status?version=4.0.1>         ]       ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.status" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.status" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.type" ] ;
fhir:short [ fhir:v "Loại: institutional (nội trú), professional (ngoại trú)" ] ;
fhir:definition [ fhir:v "The category of claim, e.g. oral, pharmacy, vision, institutional, professional." ] ;
fhir:comment [ fhir:v "The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements." ] ;
fhir:requirements [ fhir:v "Claim type determine the general sets of business rules applied for information requirements and adjudication." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.type" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ClaimType"           ]         ] ) ;
fhir:strength [ fhir:v "extensible" ] ;
fhir:description [ fhir:v "The type or discipline-style of the claim." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-type|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-type?version=4.0.1>         ]       ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.code" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.class" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.subType" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.subType" ] ;
fhir:short [ fhir:v "More granular claim type" ] ;
fhir:definition [ fhir:v "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service." ] ;
fhir:comment [ fhir:v "This may contain the local bill type codes such as the US UB-04 bill type code." ] ;
fhir:requirements [ fhir:v "Some jurisdictions need a finer grained claim type for routing and adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.subType" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ClaimSubType"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "A more granular claim typecode." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-subtype|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-subtype?version=4.0.1>         ]       ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.class" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.use" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.use" ] ;
fhir:short [ fhir:v "Mục đích: claim (thanh toán)" ] ;
fhir:definition [ fhir:v "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future." ] ;
fhir:requirements [ fhir:v "This element is required to understand the nature of the request for adjudication." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.use" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "code"^^xsd:anyURI ;
fhir:l fhir:code         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Use"           ]         ] ) ;
fhir:strength [ fhir:v "required" ] ;
fhir:description [ fhir:v "Complete, proposed, exploratory, other." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-use|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-use?version=4.0.1>         ]       ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.class" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.patient" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.patient" ] ;
fhir:short [ fhir:v "Bệnh nhân" ] ;
fhir:definition [ fhir:v "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought." ] ;
fhir:requirements [ fhir:v "The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.patient" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.subject" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.subject[x]" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.subject" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.billablePeriod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.billablePeriod" ] ;
fhir:short [ fhir:v "Relevant time frame for the claim" ] ;
fhir:definition [ fhir:v "The period for which charges are being submitted." ] ;
fhir:comment [ fhir:v "Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified." ] ;
fhir:requirements [ fhir:v "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.billablePeriod" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Period"^^xsd:anyURI ;
fhir:l fhir:Period         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.done[x]" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.created" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.created" ] ;
fhir:short [ fhir:v "Ngày tạo giải trình" ] ;
fhir:definition [ fhir:v "The date this resource was created." ] ;
fhir:comment [ fhir:v "This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date." ] ;
fhir:requirements [ fhir:v "Need to record a timestamp for use by both the recipient and the issuer." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.created" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "dateTime"^^xsd:anyURI ;
fhir:l fhir:dateTime         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.occurrence[x]" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.recorded" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.enterer" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.enterer" ] ;
fhir:short [ fhir:v "Author of the claim" ] ;
fhir:definition [ fhir:v "Individual who created the claim, predetermination or preauthorization." ] ;
fhir:requirements [ fhir:v "Some jurisdictions require the contact information for personnel completing claims." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.enterer" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Practitioner?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/PractitionerRole?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.performer.agent" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.author" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurer" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurer" ] ;
fhir:short [ fhir:v "Cơ quan BHXH thanh toán" ] ;
fhir:definition [ fhir:v "The party responsible for authorization, adjudication and reimbursement." ] ;
fhir:requirements [ fhir:v "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.insurer" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.performer.agent" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.author" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.provider" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.provider" ] ;
fhir:short [ fhir:v "Cơ sở KCB thực hiện" ] ;
fhir:definition [ fhir:v "The provider which is responsible for the claim, predetermination or preauthorization." ] ;
fhir:comment [ fhir:v "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.provider" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization>         ] [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner>         ] [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.source" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.priority" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.priority" ] ;
fhir:short [ fhir:v "Desired processing urgency" ] ;
fhir:definition [ fhir:v "The provider-required urgency of processing the request. Typical values include: stat, routine deferred." ] ;
fhir:comment [ fhir:v "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request." ] ;
fhir:requirements [ fhir:v "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.priority" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ProcessPriority"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The timeliness with which processing is required: stat, normal, deferred." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/process-priority|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/process-priority?version=4.0.1>         ]       ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "v2" ] ;
fhir:map [ fhir:v "Request.priority" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.fundsReserveRequested" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.fundsReserveRequested" ] ;
fhir:short [ fhir:v "For whom to reserve funds" ] ;
fhir:definition [ fhir:v "A code to indicate whether and for whom funds are to be reserved for future claims." ] ;
fhir:comment [ fhir:v "This field is only used for preauthorizations." ] ;
fhir:requirements [ fhir:v "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested." ] ;
      ( fhir:alias [ fhir:v "Fund pre-allocation" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.fundsReserveRequested" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "FundsReserve"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "For whom funds are to be reserved: (Patient, Provider, None)." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/fundsreserve|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/fundsreserve?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.fundsReserve" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.fundsReserve" ] ;
fhir:short [ fhir:v "Funds reserved status" ] ;
fhir:definition [ fhir:v "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom." ] ;
fhir:comment [ fhir:v "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none." ] ;
fhir:requirements [ fhir:v "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.fundsReserve" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "FundsReserve"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "For whom funds are to be reserved: (Patient, Provider, None)." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/fundsreserve|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/fundsreserve?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.related" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.related" ] ;
fhir:short [ fhir:v "Prior or corollary claims" ] ;
fhir:definition [ fhir:v "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event." ] ;
fhir:comment [ fhir:v "For example,  for the original treatment and follow-up exams." ] ;
fhir:requirements [ fhir:v "For workplace or other accidents it is common to relate separate claims arising from the same event." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.related" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.related.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.related.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.related.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.related.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.related.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.related.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.related.claim" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.related.claim" ] ;
fhir:short [ fhir:v "Reference to the related claim" ] ;
fhir:definition [ fhir:v "Reference to a related claim." ] ;
fhir:requirements [ fhir:v "For workplace or other accidents it is common to relate separate claims arising from the same event." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.related.claim" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Claim|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Claim?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.related.relationship" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.related.relationship" ] ;
fhir:short [ fhir:v "How the reference claim is related" ] ;
fhir:definition [ fhir:v "A code to convey how the claims are related." ] ;
fhir:comment [ fhir:v "For example, prior claim or umbrella." ] ;
fhir:requirements [ fhir:v "Some insurers need a declaration of the type of relationship." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.related.relationship" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "RelatedClaimRelationship"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Relationship of this claim to a related Claim." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/related-claim-relationship|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/related-claim-relationship?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.related.reference" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.related.reference" ] ;
fhir:short [ fhir:v "File or case reference" ] ;
fhir:definition [ fhir:v "An alternate organizational reference to the case or file to which this particular claim pertains." ] ;
fhir:comment [ fhir:v "For example, Property/Casualty insurer claim number or Workers Compensation case number." ] ;
fhir:requirements [ fhir:v "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.related.reference" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Identifier"^^xsd:anyURI ;
fhir:l fhir:Identifier         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.prescription" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.prescription" ] ;
fhir:short [ fhir:v "Prescription authorizing services or products" ] ;
fhir:definition [ fhir:v "Prescription to support the dispensing of pharmacy, device or vision products." ] ;
fhir:requirements [ fhir:v "Required to authorize the dispensing of controlled substances and devices." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.prescription" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/MedicationRequest?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/VisionPrescription|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/VisionPrescription?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.originalPrescription" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.originalPrescription" ] ;
fhir:short [ fhir:v "Original prescription if superceded by fulfiller" ] ;
fhir:definition [ fhir:v "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products." ] ;
fhir:comment [ fhir:v "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'." ] ;
fhir:requirements [ fhir:v "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.originalPrescription" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/MedicationRequest?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payee" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payee" ] ;
fhir:short [ fhir:v "Recipient of benefits payable" ] ;
fhir:definition [ fhir:v "The party to be reimbursed for cost of the products and services according to the terms of the policy." ] ;
fhir:comment [ fhir:v "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead." ] ;
fhir:requirements [ fhir:v "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payee" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payee.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payee.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payee.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payee.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payee.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payee.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payee.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payee.type" ] ;
fhir:short [ fhir:v "Category of recipient" ] ;
fhir:definition [ fhir:v "Type of Party to be reimbursed: Subscriber, provider, other." ] ;
fhir:requirements [ fhir:v "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payee.type" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "PayeeType"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "A code for the party to be reimbursed." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/payeetype|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/payeetype?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payee.party" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payee.party" ] ;
fhir:short [ fhir:v "Recipient reference" ] ;
fhir:definition [ fhir:v "Reference to the individual or organization to whom any payment will be made." ] ;
fhir:comment [ fhir:v "Not required if the payee is 'subscriber' or 'provider'." ] ;
fhir:requirements [ fhir:v "Need to provide demographics if the payee is not 'subscriber' nor 'provider'." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payee.party" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Practitioner?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/PractitionerRole?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Organization?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Patient?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/RelatedPerson?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.referral" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.referral" ] ;
fhir:short [ fhir:v "Treatment Referral" ] ;
fhir:definition [ fhir:v "A reference to a referral resource." ] ;
fhir:comment [ fhir:v "The referral resource which lists the date, practitioner, reason and other supporting information." ] ;
fhir:requirements [ fhir:v "Some insurers require proof of referral to pay for services or to pay specialist rates for services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.referral" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ServiceRequest?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.cause" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.facility" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.facility" ] ;
fhir:short [ fhir:v "Servicing Facility" ] ;
fhir:definition [ fhir:v "Facility where the services were provided." ] ;
fhir:requirements [ fhir:v "Insurance adjudication can be dependant on where services were delivered." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.facility" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Location|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Location?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "workflow" ] ;
fhir:map [ fhir:v "Event.performer.location" ]       ] [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.where[x]" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.claim" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.claim" ] ;
fhir:short [ fhir:v "Claim reference" ] ;
fhir:definition [ fhir:v "The business identifier for the instance of the adjudication request: claim predetermination or preauthorization." ] ;
fhir:requirements [ fhir:v "To provide a link to the original adjudication request." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.claim" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Claim|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Claim?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.why[x]" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.claimResponse" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.claimResponse" ] ;
fhir:short [ fhir:v "Claim response reference" ] ;
fhir:definition [ fhir:v "The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response." ] ;
fhir:requirements [ fhir:v "To provide a link to the original adjudication response." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.claimResponse" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ClaimResponse?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.outcome" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.outcome" ] ;
fhir:short [ fhir:v "Kết quả giám định: complete | partial | error" ] ;
fhir:definition [ fhir:v "The outcome of the claim, predetermination, or preauthorization processing." ] ;
fhir:comment [ fhir:v "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete)." ] ;
fhir:requirements [ fhir:v "To advise the requestor of an overall processing outcome." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.outcome" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "code"^^xsd:anyURI ;
fhir:l fhir:code         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "RemittanceOutcome"           ]         ] ) ;
fhir:strength [ fhir:v "required" ] ;
fhir:description [ fhir:v "The result of the claim processing." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/remittance-outcome?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.disposition" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.disposition" ] ;
fhir:short [ fhir:v "Disposition Message" ] ;
fhir:definition [ fhir:v "A human readable description of the status of the adjudication." ] ;
fhir:requirements [ fhir:v "Provided for user display." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.disposition" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.preAuthRef" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.preAuthRef" ] ;
fhir:short [ fhir:v "Preauthorization reference" ] ;
fhir:definition [ fhir:v "Reference from the Insurer which is used in later communications which refers to this adjudication." ] ;
fhir:comment [ fhir:v "This value is only present on preauthorization adjudications." ] ;
fhir:requirements [ fhir:v "On subsequent claims, the insurer may require the provider to quote this value." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.preAuthRef" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.preAuthRefPeriod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.preAuthRefPeriod" ] ;
fhir:short [ fhir:v "Preauthorization in-effect period" ] ;
fhir:definition [ fhir:v "The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided." ] ;
fhir:comment [ fhir:v "This value is only present on preauthorization adjudications." ] ;
fhir:requirements [ fhir:v "On subsequent claims, the insurer may require the provider to quote this value." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.preAuthRefPeriod" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Period"^^xsd:anyURI ;
fhir:l fhir:Period         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam" ] ;
fhir:short [ fhir:v "Care Team members" ] ;
fhir:definition [ fhir:v "The members of the team who provided the products and services." ] ;
fhir:requirements [ fhir:v "Common to identify the responsible and supporting practitioners." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.sequence" ] ;
fhir:short [ fhir:v "Order of care team" ] ;
fhir:definition [ fhir:v "A number to uniquely identify care team entries." ] ;
fhir:requirements [ fhir:v "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.sequence" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.provider" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.provider" ] ;
fhir:short [ fhir:v "Practitioner or organization" ] ;
fhir:definition [ fhir:v "Member of the team who provided the product or service." ] ;
fhir:requirements [ fhir:v "Often a regulatory requirement to specify the responsible provider." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.provider" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Practitioner?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/PractitionerRole?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Organization?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.actor" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.responsible" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.responsible" ] ;
fhir:short [ fhir:v "Indicator of the lead practitioner" ] ;
fhir:definition [ fhir:v "The party who is billing and/or responsible for the claimed products or services." ] ;
fhir:comment [ fhir:v "Responsible might not be required when there is only a single provider listed." ] ;
fhir:requirements [ fhir:v "When multiple parties are present it is required to distinguish the lead or responsible individual." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.responsible" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "boolean"^^xsd:anyURI ;
fhir:l fhir:boolean         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.role" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.role" ] ;
fhir:short [ fhir:v "Function within the team" ] ;
fhir:definition [ fhir:v "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team." ] ;
fhir:comment [ fhir:v "Role might not be required when there is only a single provider listed." ] ;
fhir:requirements [ fhir:v "When multiple parties are present it is required to distinguish the roles performed by each member." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.role" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "CareTeamRole"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The role codes for the care team members." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-careteamrole|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-careteamrole?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.careTeam.qualification" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.qualification" ] ;
fhir:short [ fhir:v "Practitioner credential or specialization" ] ;
fhir:definition [ fhir:v "The qualification of the practitioner which is applicable for this service." ] ;
fhir:requirements [ fhir:v "Need to specify which qualification a provider is delivering the product or service under." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.careTeam.qualification" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ProviderQualification"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Provider professional qualifications." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/provider-qualification|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/provider-qualification?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo" ] ;
fhir:short [ fhir:v "Supporting information" ] ;
fhir:definition [ fhir:v "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ] ;
fhir:comment [ fhir:v "Often there are multiple jurisdiction specific valuesets which are required." ] ;
fhir:requirements [ fhir:v "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.sequence" ] ;
fhir:short [ fhir:v "Information instance identifier" ] ;
fhir:definition [ fhir:v "A number to uniquely identify supporting information entries." ] ;
fhir:requirements [ fhir:v "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.sequence" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.category" ] ;
fhir:short [ fhir:v "Classification of the supplied information" ] ;
fhir:definition [ fhir:v "The general class of the information supplied: information; exception; accident, employment; onset, etc." ] ;
fhir:comment [ fhir:v "This may contain a category for the local bill type codes." ] ;
fhir:requirements [ fhir:v "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.category" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "InformationCategory"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The valuset used for additional information category codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-informationcategory|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-informationcategory?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.code" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.code" ] ;
fhir:short [ fhir:v "Type of information" ] ;
fhir:definition [ fhir:v "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought." ] ;
fhir:comment [ fhir:v "This may contain the local bill type codes such as the US UB-04 bill type code." ] ;
fhir:requirements [ fhir:v "Required to identify the kind of additional information." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.code" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "InformationCode"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The valuset used for additional information codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-exception|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-exception?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.timing[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.timing[x]" ] ;
fhir:short [ fhir:v "When it occurred" ] ;
fhir:definition [ fhir:v "The date when or period to which this information refers." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.timing[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "date"^^xsd:anyURI ;
fhir:l fhir:date         ]       ] [
fhir:code [
fhir:v "Period"^^xsd:anyURI ;
fhir:l fhir:Period         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.value[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.value[x]" ] ;
fhir:short [ fhir:v "Data to be provided" ] ;
fhir:definition [ fhir:v "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ] ;
fhir:comment [ fhir:v "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ] ;
fhir:requirements [ fhir:v "To convey the data content to be provided when the information is more than a simple code or period." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.value[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "boolean"^^xsd:anyURI ;
fhir:l fhir:boolean         ]       ] [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] [
fhir:code [
fhir:v "Quantity"^^xsd:anyURI ;
fhir:l fhir:Quantity         ]       ] [
fhir:code [
fhir:v "Attachment"^^xsd:anyURI ;
fhir:l fhir:Attachment         ]       ] [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Resource?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.supportingInfo.reason" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.reason" ] ;
fhir:short [ fhir:v "Explanation for the information" ] ;
fhir:definition [ fhir:v "Provides the reason in the situation where a reason code is required in addition to the content." ] ;
fhir:comment [ fhir:v "For example: the reason for the additional stay, or why a tooth is  missing." ] ;
fhir:requirements [ fhir:v "Needed when the supporting information has both a date and amount/value and requires explanation." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.supportingInfo.reason" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Coding"^^xsd:anyURI ;
fhir:l fhir:Coding         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "MissingReason"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Reason codes for the missing teeth." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/missing-tooth-reason|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/missing-tooth-reason?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis" ] ;
fhir:short [ fhir:v "Chẩn đoán — ICD-10 VN" ] ;
fhir:definition [ fhir:v "Information about diagnoses relevant to the claim items." ] ;
fhir:requirements [ fhir:v "Required for the adjudication by provided context for the services and product listed." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.sequence" ] ;
fhir:short [ fhir:v "Diagnosis instance identifier" ] ;
fhir:definition [ fhir:v "A number to uniquely identify diagnosis entries." ] ;
fhir:comment [ fhir:v "Diagnosis are presented in list order to their expected importance: primary, secondary, etc." ] ;
fhir:requirements [ fhir:v "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.sequence" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "type" ] ;
fhir:path [ fhir:v "$this" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Nature of illness or problem" ] ;
fhir:definition [ fhir:v "The nature of illness or problem in a coded form or as a reference to an external defined Condition." ] ;
fhir:requirements [ fhir:v "Provides health context for the evaluation of the products and/or services." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Condition?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ICD10"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "ICD10 Diagnostic codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/icd-10|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/icd-10?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]:diagnosisCodeableConcept" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:sliceName [ fhir:v "diagnosisCodeableConcept" ] ;
fhir:short [ fhir:v "Mã bệnh ICD-10 VN" ] ;
fhir:definition [ fhir:v "The nature of illness or problem in a coded form or as a reference to an external defined Condition." ] ;
fhir:requirements [ fhir:v "Provides health context for the evaluation of the products and/or services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-condition-code-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-condition-code-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.type" ] ;
fhir:short [ fhir:v "Loại chẩn đoán (chính/phụ)" ] ;
fhir:definition [ fhir:v "When the condition was observed or the relative ranking." ] ;
fhir:comment [ fhir:v "For example: admitting, primary, secondary, discharge." ] ;
fhir:requirements [ fhir:v "Often required to capture a particular diagnosis, for example: primary or discharge." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.type" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "DiagnosisType"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The type of the diagnosis: admitting, principal, discharge." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-diagnosistype|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-diagnosistype?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.onAdmission" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.onAdmission" ] ;
fhir:short [ fhir:v "Present on admission" ] ;
fhir:definition [ fhir:v "Indication of whether the diagnosis was present on admission to a facility." ] ;
fhir:requirements [ fhir:v "Many systems need to understand for adjudication if the diagnosis was present a time of admission." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.onAdmission" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "DiagnosisOnAdmission"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Present on admission." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.packageCode" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.packageCode" ] ;
fhir:short [ fhir:v "Package billing code" ] ;
fhir:definition [ fhir:v "A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system." ] ;
fhir:comment [ fhir:v "For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event." ] ;
fhir:requirements [ fhir:v "Required to relate the current  diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.packageCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "DiagnosisRelatedGroup"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The DRG codes associated with the diagnosis." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure" ] ;
fhir:short [ fhir:v "Thủ thuật/phẫu thuật — ICD-9-CM" ] ;
fhir:definition [ fhir:v "Procedures performed on the patient relevant to the billing items with the claim." ] ;
fhir:requirements [ fhir:v "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.procedure" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.sequence" ] ;
fhir:short [ fhir:v "Procedure instance identifier" ] ;
fhir:definition [ fhir:v "A number to uniquely identify procedure entries." ] ;
fhir:requirements [ fhir:v "Necessary to provide a mechanism to link to claim details." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.sequence" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.type" ] ;
fhir:short [ fhir:v "Category of Procedure" ] ;
fhir:definition [ fhir:v "When the condition was observed or the relative ranking." ] ;
fhir:requirements [ fhir:v "Often required to capture a particular diagnosis, for example: primary or discharge." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.type" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ProcedureType"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Example procedure type codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-procedure-type|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-procedure-type?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.date" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.date" ] ;
fhir:short [ fhir:v "When the procedure was performed" ] ;
fhir:definition [ fhir:v "Date and optionally time the procedure was performed." ] ;
fhir:requirements [ fhir:v "Required for auditing purposes." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.date" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "dateTime"^^xsd:anyURI ;
fhir:l fhir:dateTime         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "type" ] ;
fhir:path [ fhir:v "$this" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Specific clinical procedure" ] ;
fhir:definition [ fhir:v "The code or reference to a Procedure resource which identifies the clinical intervention performed." ] ;
fhir:requirements [ fhir:v "This identifies the actual clinical procedure." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Procedure?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ICD10_Procedures"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "ICD10 Procedure codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/icd-10-procedures|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/icd-10-procedures?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]:procedureCodeableConcept" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:sliceName [ fhir:v "procedureCodeableConcept" ] ;
fhir:short [ fhir:v "Specific clinical procedure" ] ;
fhir:definition [ fhir:v "The code or reference to a Procedure resource which identifies the clinical intervention performed." ] ;
fhir:requirements [ fhir:v "This identifies the actual clinical procedure." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-procedure-code-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-procedure-code-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.udi" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.udi" ] ;
fhir:short [ fhir:v "Unique device identifier" ] ;
fhir:definition [ fhir:v "Unique Device Identifiers associated with this line item." ] ;
fhir:requirements [ fhir:v "The UDI code allows the insurer to obtain device level information on the product supplied." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.udi" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Device?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.precedence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.precedence" ] ;
fhir:short [ fhir:v "Precedence (primary, secondary, etc.)" ] ;
fhir:definition [ fhir:v "This indicates the relative order of a series of EOBs related to different coverages for the same suite of services." ] ;
fhir:requirements [ fhir:v "Needed to coordinate between multiple EOBs for the same suite of services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.precedence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance" ] ;
fhir:short [ fhir:v "Thông tin BHYT" ] ;
fhir:definition [ fhir:v "Financial instruments for reimbursement for the health care products and services specified on the claim." ] ;
fhir:comment [ fhir:v "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim." ] ;
fhir:requirements [ fhir:v "At least one insurer is required for a claim to be a claim." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.insurance" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "v2" ] ;
fhir:map [ fhir:v "Coverage" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.focal" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.focal" ] ;
fhir:short [ fhir:v "Coverage to be used for adjudication" ] ;
fhir:definition [ fhir:v "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true." ] ;
fhir:comment [ fhir:v "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies." ] ;
fhir:requirements [ fhir:v "To identify which coverage in the list is being used to adjudicate this claim." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.focal" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "boolean"^^xsd:anyURI ;
fhir:l fhir:boolean         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.coverage" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.coverage" ] ;
fhir:short [ fhir:v "Thẻ BHYT (Coverage)" ] ;
fhir:definition [ fhir:v "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system." ] ;
fhir:requirements [ fhir:v "Required to allow the adjudicator to locate the correct policy and history within their information system." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.coverage" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.preAuthRef" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.preAuthRef" ] ;
fhir:short [ fhir:v "Prior authorization reference number" ] ;
fhir:definition [ fhir:v "Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization." ] ;
fhir:comment [ fhir:v "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier." ] ;
fhir:requirements [ fhir:v "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.preAuthRef" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.accident" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.accident" ] ;
fhir:short [ fhir:v "Details of the event" ] ;
fhir:definition [ fhir:v "Details of a accident which resulted in injuries which required the products and services listed in the claim." ] ;
fhir:requirements [ fhir:v "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.accident" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.accident.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.accident.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.accident.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.accident.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.accident.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.accident.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.accident.date" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.accident.date" ] ;
fhir:short [ fhir:v "When the incident occurred" ] ;
fhir:definition [ fhir:v "Date of an accident event  related to the products and services contained in the claim." ] ;
fhir:comment [ fhir:v "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe." ] ;
fhir:requirements [ fhir:v "Required for audit purposes and adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.accident.date" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "date"^^xsd:anyURI ;
fhir:l fhir:date         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.accident.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.accident.type" ] ;
fhir:short [ fhir:v "The nature of the accident" ] ;
fhir:definition [ fhir:v "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers." ] ;
fhir:requirements [ fhir:v "Coverage may be dependant on the type of accident." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.accident.type" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "AccidentType"           ]         ] ) ;
fhir:strength [ fhir:v "extensible" ] ;
fhir:description [ fhir:v "Type of accident: work place, auto, etc." ] ;
fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/ValueSet/v3-ActIncidentCode>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.accident.location[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.accident.location[x]" ] ;
fhir:short [ fhir:v "Where the event occurred" ] ;
fhir:definition [ fhir:v "The physical location of the accident event." ] ;
fhir:requirements [ fhir:v "Required for audit purposes and determination of applicable insurance liability." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.accident.location[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Address"^^xsd:anyURI ;
fhir:l fhir:Address         ]       ] [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Location|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Location?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item" ] ;
fhir:short [ fhir:v "Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT" ] ;
fhir:definition [ fhir:v "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details." ] ;
fhir:requirements [ fhir:v "The items to be processed for adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ] ;
fhir:short [ fhir:v "Extension" ] ;
fhir:definition [ fhir:v "An Extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:paymentSource" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "paymentSource" ] ;
fhir:short [ fhir:v "Nguồn chi trả dòng chi phí (NGUON_CTRA)" ] ;
fhir:definition [ fhir:v "Nguồn chi trả cho dòng chi phí KCB, đặc biệt dùng cho XML2 thuốc (NGUON_CTRA) theo QĐ 3176/QĐ-BYT.\nBiểu diễn nguồn chi trả ở mức item thay vì gán vào Coverage.type hoặc payment method tổng thể.\nNguồn thiết kế: QĐ 3176/QĐ-BYT và terminology VNPaymentSourceCS/VS." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source>         ] )       ] ) ;
      ( fhir:condition [ fhir:v "ele-1" ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:recurrentWoundBenefit" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "recurrentWoundBenefit" ] ;
fhir:short [ fhir:v "Flag VET_THUONG_TP cho dòng thuốc/DVKT/VTYT" ] ;
fhir:definition [ fhir:v "Flag nghiệp vụ theo dòng chi phí BHYT cho XML2/XML3 trường `VET_THUONG_TP`.\nChỉ dùng khi dòng thuốc, DVKT hoặc VTYT có quy định tỷ lệ thanh toán BHYT được dùng để điều trị vết thương tái phát hoặc bệnh tật tái phát cho thương binh, người hưởng chính sách như thương binh, bệnh binh theo field text của QĐ 130/QĐ-BYT và QĐ 3176/QĐ-BYT; field text này viện dẫn NĐ 131/2021/NĐ-CP.\nĐây không phải mã chẩn đoán tái phát và không phải thuộc tính cố định của thuốc, DVKT hoặc thiết bị." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-recurrent-wound-benefit"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-recurrent-wound-benefit>         ] )       ] ) ;
      ( fhir:condition [ fhir:v "ele-1" ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:tenderInfo" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "tenderInfo" ] ;
fhir:short [ fhir:v "Thông tin thầu dòng chi phí (TT_THAU)" ] ;
fhir:definition [ fhir:v "Thông tin thầu của dòng thuốc/vật tư/thiết bị trong dữ liệu KCB/BHYT, đặc biệt dùng cho XML2/XML3 trường TT_THAU theo QĐ 130/QĐ-BYT và QĐ 3176/QĐ-BYT.\nĐây là chuỗi nghiệp vụ phục vụ thanh toán/gateway, không phải procurement package đầy đủ và không thay thế hồ sơ đấu thầu riêng." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info>         ] )       ] ) ;
      ( fhir:condition [ fhir:v "ele-1" ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:processingMethod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "processingMethod" ] ;
fhir:short [ fhir:v "Phương pháp chế biến YHCT (MA_PP_CHEBIEN)" ] ;
fhir:definition [ fhir:v "Raw gateway carrier cho XML2 `MA_PP_CHEBIEN` trong dữ liệu BHYT/KCB đối với vị thuốc, dược liệu hoặc thuốc YHCT có thông tin chế biến.\nQĐ 3176/QĐ-BYT vẫn tham chiếu bộ mã qua nền pháp lý cũ; hiện hành, Thông tư 14/2024/TT-BYT là nguồn mô tả phương pháp chế biến các vị thuốc cổ truyền. Do repo chưa ingest được một CodeSystem FHIR-ready có provenance đầy đủ từ nguồn hiện hành, extension này giữ nguyên chuỗi nghiệp vụ/raw legal string thay vì công bố mã chính thức sớm." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method>         ] )       ] ) ;
      ( fhir:condition [ fhir:v "ele-1" ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.sequence" ] ;
fhir:short [ fhir:v "Item instance identifier" ] ;
fhir:definition [ fhir:v "A number to uniquely identify item entries." ] ;
fhir:requirements [ fhir:v "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.sequence" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.careTeamSequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.careTeamSequence" ] ;
fhir:short [ fhir:v "Applicable care team members" ] ;
fhir:definition [ fhir:v "Care team members related to this service or product." ] ;
fhir:requirements [ fhir:v "Need to identify the individuals and their roles in the provision of the product or service." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.careTeamSequence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.diagnosisSequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.diagnosisSequence" ] ;
fhir:short [ fhir:v "Applicable diagnoses" ] ;
fhir:definition [ fhir:v "Diagnoses applicable for this service or product." ] ;
fhir:requirements [ fhir:v "Need to related the product or service to the associated diagnoses." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.diagnosisSequence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.procedureSequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.procedureSequence" ] ;
fhir:short [ fhir:v "Applicable procedures" ] ;
fhir:definition [ fhir:v "Procedures applicable for this service or product." ] ;
fhir:requirements [ fhir:v "Need to provide any listed specific procedures to support the product or service being claimed." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.procedureSequence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.informationSequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.informationSequence" ] ;
fhir:short [ fhir:v "Applicable exception and supporting information" ] ;
fhir:definition [ fhir:v "Exceptions, special conditions and supporting information applicable for this service or product." ] ;
fhir:requirements [ fhir:v "Need to reference the supporting information items that relate directly to this product or service." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.informationSequence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.revenue" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.revenue" ] ;
fhir:short [ fhir:v "Revenue or cost center code" ] ;
fhir:definition [ fhir:v "The type of revenue or cost center providing the product and/or service." ] ;
fhir:requirements [ fhir:v "Needed in the processing of institutional claims." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.revenue" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "RevenueCenter"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Codes for the revenue or cost centers supplying the service and/or products." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-revenue-center|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-revenue-center?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.category" ] ;
fhir:short [ fhir:v "Nhóm chi phí (QĐ 697)" ] ;
fhir:definition [ fhir:v "Code to identify the general type of benefits under which products and services are provided." ] ;
fhir:comment [ fhir:v "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ] ;
fhir:requirements [ fhir:v "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.category" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-cost-category-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-cost-category-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.productOrService" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.productOrService" ] ;
fhir:short [ fhir:v "Mã dịch vụ/thuốc/TBYT" ] ;
fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ;
fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ;
fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ;
      ( fhir:alias [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.productOrService" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServiceProduct"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Allowable service and product codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-uscls|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-uscls?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.modifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.modifier" ] ;
fhir:short [ fhir:v "Product or service billing modifiers" ] ;
fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ;
fhir:comment [ fhir:v "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ] ;
fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.modifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Modifiers"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-modifiers?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.programCode" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.programCode" ] ;
fhir:short [ fhir:v "Program the product or service is provided under" ] ;
fhir:definition [ fhir:v "Identifies the program under which this may be recovered." ] ;
fhir:comment [ fhir:v "For example: Neonatal program, child dental program or drug users recovery program." ] ;
fhir:requirements [ fhir:v "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.programCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ProgramCode"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Program specific reason codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-program-code|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-program-code?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.serviced[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.serviced[x]" ] ;
fhir:short [ fhir:v "Date or dates of service or product delivery" ] ;
fhir:definition [ fhir:v "The date or dates when the service or product was supplied, performed or completed." ] ;
fhir:requirements [ fhir:v "Needed to determine whether the  service or product was provided during the term of the insurance coverage." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.serviced[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "date"^^xsd:anyURI ;
fhir:l fhir:date         ]       ] [
fhir:code [
fhir:v "Period"^^xsd:anyURI ;
fhir:l fhir:Period         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.done[x]" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.location[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.location[x]" ] ;
fhir:short [ fhir:v "Place of service or where product was supplied" ] ;
fhir:definition [ fhir:v "Where the product or service was provided." ] ;
fhir:requirements [ fhir:v "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.location[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] [
fhir:code [
fhir:v "Address"^^xsd:anyURI ;
fhir:l fhir:Address         ]       ] [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Location|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Location?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServicePlace"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Place where the service is rendered." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-place|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-place?version=4.0.1>         ]       ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.where[x]" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.quantity" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.quantity" ] ;
fhir:short [ fhir:v "Số lượng" ] ;
fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ;
fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.quantity" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Quantity"^^xsd:anyURI ;
fhir:l fhir:Quantity         ] ;
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/SimpleQuantity?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.unitPrice" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.unitPrice" ] ;
fhir:short [ fhir:v "Đơn giá" ] ;
fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ;
fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.unitPrice" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.factor" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.factor" ] ;
fhir:short [ fhir:v "Price scaling factor" ] ;
fhir:definition [ fhir:v "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ] ;
fhir:comment [ fhir:v "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ] ;
fhir:requirements [ fhir:v "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.factor" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "decimal"^^xsd:anyURI ;
fhir:l fhir:decimal         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.net" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.net" ] ;
fhir:short [ fhir:v "Thành tiền" ] ;
fhir:definition [ fhir:v "The quantity times the unit price for an additional service or product or charge." ] ;
fhir:comment [ fhir:v "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied." ] ;
fhir:requirements [ fhir:v "Provides the total amount claimed  for the group (if a grouper) or the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.net" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.udi" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.udi" ] ;
fhir:short [ fhir:v "Unique device identifier" ] ;
fhir:definition [ fhir:v "Unique Device Identifiers associated with this line item." ] ;
fhir:requirements [ fhir:v "The UDI code allows the insurer to obtain device level information on the product supplied." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.udi" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Device?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.bodySite" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.bodySite" ] ;
fhir:short [ fhir:v "Anatomical location" ] ;
fhir:definition [ fhir:v "Physical service site on the patient (limb, tooth, etc.)." ] ;
fhir:comment [ fhir:v "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed." ] ;
fhir:requirements [ fhir:v "Allows insurer to validate specific procedures." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.bodySite" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "OralSites"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The code for the teeth, quadrant, sextant and arch." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/tooth|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/tooth?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.subSite" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.subSite" ] ;
fhir:short [ fhir:v "Anatomical sub-location" ] ;
fhir:definition [ fhir:v "A region or surface of the bodySite, e.g. limb region or tooth surface(s)." ] ;
fhir:requirements [ fhir:v "Allows insurer to validate specific procedures." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.subSite" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Surface"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The code for the tooth surface and surface combinations." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/surface|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/surface?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.encounter" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.encounter" ] ;
fhir:short [ fhir:v "Encounters related to this billed item" ] ;
fhir:definition [ fhir:v "A billed item may include goods or services provided in multiple encounters." ] ;
fhir:requirements [ fhir:v "Used in some jurisdictions to link clinical events to claim items." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.encounter" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Encounter?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.noteNumber" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.noteNumber" ] ;
fhir:short [ fhir:v "Applicable note numbers" ] ;
fhir:definition [ fhir:v "The numbers associated with notes below which apply to the adjudication of this item." ] ;
fhir:requirements [ fhir:v "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.noteNumber" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication" ] ;
fhir:short [ fhir:v "Kết quả giám định từng dòng" ] ;
fhir:definition [ fhir:v "Kết quả giám định từng dòng nếu hệ thống nguồn có line-level adjudication. EOB có thể chỉ mang total-level adjudication trong một số báo cáo/patient-facing use case, nên element này không bị bắt buộc như VNCoreClaimResponse." ] ;
fhir:requirements [ fhir:v "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.category" ] ;
fhir:short [ fhir:v "Type of adjudication information" ] ;
fhir:definition [ fhir:v "Category giám định từng dòng. Ưu tiên HL7 adjudication (`submitted`, `eligible`, `copay`, `benefit`) cho line-level adjudication; các subtotal cục bộ của VN Core không dùng ở line-level." ] ;
fhir:comment [ fhir:v "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ] ;
fhir:requirements [ fhir:v "Needed to enable understanding of the context of the other information in the adjudication." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.category" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/adjudication>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.reason" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.reason" ] ;
fhir:short [ fhir:v "Explanation of adjudication outcome" ] ;
fhir:definition [ fhir:v "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ] ;
fhir:comment [ fhir:v "For example, may indicate that the funds for this benefit type have been exhausted." ] ;
fhir:requirements [ fhir:v "To support understanding of variance from adjudication expectations." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.reason" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "AdjudicationReason"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Adjudication reason codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/adjudication-reason|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/adjudication-reason?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.amount" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.amount" ] ;
fhir:short [ fhir:v "Monetary amount" ] ;
fhir:definition [ fhir:v "Monetary amount associated with the category." ] ;
fhir:comment [ fhir:v "For example, amount submitted, eligible amount, co-payment, and benefit payable." ] ;
fhir:requirements [ fhir:v "Most adjuciation categories convey a monetary amount." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.amount" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.value" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.value" ] ;
fhir:short [ fhir:v "Non-monitary value" ] ;
fhir:definition [ fhir:v "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ] ;
fhir:comment [ fhir:v "For example: eligible percentage or co-payment percentage." ] ;
fhir:requirements [ fhir:v "Some adjudication categories convey a percentage or a fixed value." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.value" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "decimal"^^xsd:anyURI ;
fhir:l fhir:decimal         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail" ] ;
fhir:short [ fhir:v "Additional items" ] ;
fhir:definition [ fhir:v "Second-tier of goods and services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.sequence" ] ;
fhir:short [ fhir:v "Product or service provided" ] ;
fhir:definition [ fhir:v "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items." ] ;
fhir:requirements [ fhir:v "The items to be processed for adjudication." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.sequence" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.revenue" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.revenue" ] ;
fhir:short [ fhir:v "Revenue or cost center code" ] ;
fhir:definition [ fhir:v "The type of revenue or cost center providing the product and/or service." ] ;
fhir:requirements [ fhir:v "Needed in the processing of institutional claims." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.revenue" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "RevenueCenter"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Codes for the revenue or cost centers supplying the service and/or products." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-revenue-center|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-revenue-center?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.category" ] ;
fhir:short [ fhir:v "Benefit classification" ] ;
fhir:definition [ fhir:v "Code to identify the general type of benefits under which products and services are provided." ] ;
fhir:comment [ fhir:v "Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ] ;
fhir:requirements [ fhir:v "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.category" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "BenefitCategory"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Benefit categories such as: oral, medical, vision, oral-basic etc." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-benefitcategory?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.productOrService" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.productOrService" ] ;
fhir:short [ fhir:v "Billing, service, product, or drug code" ] ;
fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ;
fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ;
fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ;
      ( fhir:alias [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.productOrService" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServiceProduct"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Allowable service and product codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-uscls|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-uscls?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.modifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.modifier" ] ;
fhir:short [ fhir:v "Service/Product billing modifiers" ] ;
fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ;
fhir:comment [ fhir:v "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ] ;
fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.modifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Modifiers"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-modifiers?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.programCode" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.programCode" ] ;
fhir:short [ fhir:v "Program the product or service is provided under" ] ;
fhir:definition [ fhir:v "Identifies the program under which this may be recovered." ] ;
fhir:comment [ fhir:v "For example: Neonatal program, child dental program or drug users recovery program." ] ;
fhir:requirements [ fhir:v "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.programCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ProgramCode"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Program specific reason codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-program-code|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-program-code?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.quantity" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.quantity" ] ;
fhir:short [ fhir:v "Count of products or services" ] ;
fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ;
fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.quantity" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Quantity"^^xsd:anyURI ;
fhir:l fhir:Quantity         ] ;
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/SimpleQuantity?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.unitPrice" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.unitPrice" ] ;
fhir:short [ fhir:v "Fee, charge or cost per item" ] ;
fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ;
fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.unitPrice" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.factor" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.factor" ] ;
fhir:short [ fhir:v "Price scaling factor" ] ;
fhir:definition [ fhir:v "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ] ;
fhir:comment [ fhir:v "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ] ;
fhir:requirements [ fhir:v "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.factor" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "decimal"^^xsd:anyURI ;
fhir:l fhir:decimal         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.net" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.net" ] ;
fhir:short [ fhir:v "Total item cost" ] ;
fhir:definition [ fhir:v "The quantity times the unit price for an additional service or product or charge." ] ;
fhir:comment [ fhir:v "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied." ] ;
fhir:requirements [ fhir:v "Provides the total amount claimed  for the group (if a grouper) or the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.net" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.udi" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.udi" ] ;
fhir:short [ fhir:v "Unique device identifier" ] ;
fhir:definition [ fhir:v "Unique Device Identifiers associated with this line item." ] ;
fhir:requirements [ fhir:v "The UDI code allows the insurer to obtain device level information on the product supplied." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.udi" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Device?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.noteNumber" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.noteNumber" ] ;
fhir:short [ fhir:v "Applicable note numbers" ] ;
fhir:definition [ fhir:v "The numbers associated with notes below which apply to the adjudication of this item." ] ;
fhir:requirements [ fhir:v "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.noteNumber" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.adjudication" ] ;
fhir:short [ fhir:v "Detail level adjudication details" ] ;
fhir:definition [ fhir:v "The adjudication results." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.adjudication" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:contentReference [
fhir:v "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication>       ] ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail" ] ;
fhir:short [ fhir:v "Additional items" ] ;
fhir:definition [ fhir:v "Third-tier of goods and services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.sequence" ] ;
fhir:short [ fhir:v "Product or service provided" ] ;
fhir:definition [ fhir:v "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items." ] ;
fhir:requirements [ fhir:v "The items to be processed for adjudication." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.sequence" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.revenue" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.revenue" ] ;
fhir:short [ fhir:v "Revenue or cost center code" ] ;
fhir:definition [ fhir:v "The type of revenue or cost center providing the product and/or service." ] ;
fhir:requirements [ fhir:v "Needed in the processing of institutional claims." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.revenue" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "RevenueCenter"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Codes for the revenue or cost centers supplying the service and/or products." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-revenue-center|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-revenue-center?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.category" ] ;
fhir:short [ fhir:v "Benefit classification" ] ;
fhir:definition [ fhir:v "Code to identify the general type of benefits under which products and services are provided." ] ;
fhir:comment [ fhir:v "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ] ;
fhir:requirements [ fhir:v "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.category" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "BenefitCategory"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Benefit categories such as: oral, medical, vision, oral-basic etc." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-benefitcategory?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.productOrService" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.productOrService" ] ;
fhir:short [ fhir:v "Billing, service, product, or drug code" ] ;
fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ;
fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ;
fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ;
      ( fhir:alias [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.productOrService" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServiceProduct"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Allowable service and product codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-uscls|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-uscls?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.modifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.modifier" ] ;
fhir:short [ fhir:v "Service/Product billing modifiers" ] ;
fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ;
fhir:comment [ fhir:v "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours." ] ;
fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.modifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Modifiers"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-modifiers?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.programCode" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.programCode" ] ;
fhir:short [ fhir:v "Program the product or service is provided under" ] ;
fhir:definition [ fhir:v "Identifies the program under which this may be recovered." ] ;
fhir:comment [ fhir:v "For example: Neonatal program, child dental program or drug users recovery program." ] ;
fhir:requirements [ fhir:v "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.programCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ProgramCode"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Program specific reason codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-program-code|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-program-code?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.quantity" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.quantity" ] ;
fhir:short [ fhir:v "Count of products or services" ] ;
fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ;
fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.quantity" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Quantity"^^xsd:anyURI ;
fhir:l fhir:Quantity         ] ;
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/SimpleQuantity?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ] ;
fhir:short [ fhir:v "Fee, charge or cost per item" ] ;
fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ;
fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.factor" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.factor" ] ;
fhir:short [ fhir:v "Price scaling factor" ] ;
fhir:definition [ fhir:v "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ] ;
fhir:comment [ fhir:v "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ] ;
fhir:requirements [ fhir:v "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.factor" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "decimal"^^xsd:anyURI ;
fhir:l fhir:decimal         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.net" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.net" ] ;
fhir:short [ fhir:v "Total item cost" ] ;
fhir:definition [ fhir:v "The quantity times the unit price for an additional service or product or charge." ] ;
fhir:comment [ fhir:v "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied." ] ;
fhir:requirements [ fhir:v "Provides the total amount claimed  for the group (if a grouper) or the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.net" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.udi" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.udi" ] ;
fhir:short [ fhir:v "Unique device identifier" ] ;
fhir:definition [ fhir:v "Unique Device Identifiers associated with this line item." ] ;
fhir:requirements [ fhir:v "The UDI code allows the insurer to obtain device level information on the product supplied." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.udi" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Device?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ] ;
fhir:short [ fhir:v "Applicable note numbers" ] ;
fhir:definition [ fhir:v "The numbers associated with notes below which apply to the adjudication of this item." ] ;
fhir:requirements [ fhir:v "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.adjudication" ] ;
fhir:short [ fhir:v "Subdetail level adjudication details" ] ;
fhir:definition [ fhir:v "The adjudication results." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.item.detail.subDetail.adjudication" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:contentReference [
fhir:v "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication>       ] ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem" ] ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint>         ] ;
fhir:value [
a fhir:String ;
fhir:v "740;600"         ]       ] ) ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem" ] ;
fhir:short [ fhir:v "Insurer added line items" ] ;
fhir:definition [ fhir:v "The first-tier service adjudications for payor added product or service lines." ] ;
fhir:requirements [ fhir:v "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.itemSequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.itemSequence" ] ;
fhir:short [ fhir:v "Item sequence number" ] ;
fhir:definition [ fhir:v "Claim items which this service line is intended to replace." ] ;
fhir:requirements [ fhir:v "Provides references to the claim items." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.itemSequence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detailSequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detailSequence" ] ;
fhir:short [ fhir:v "Detail sequence number" ] ;
fhir:definition [ fhir:v "The sequence number of the details within the claim item which this line is intended to replace." ] ;
fhir:requirements [ fhir:v "Provides references to the claim details within the claim item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detailSequence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.subDetailSequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.subDetailSequence" ] ;
fhir:short [ fhir:v "Subdetail sequence number" ] ;
fhir:definition [ fhir:v "The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace." ] ;
fhir:requirements [ fhir:v "Provides references to the claim sub-details within the claim detail." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.subDetailSequence" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.provider" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.provider" ] ;
fhir:short [ fhir:v "Authorized providers" ] ;
fhir:definition [ fhir:v "The providers who are authorized for the services rendered to the patient." ] ;
fhir:requirements [ fhir:v "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.provider" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Practitioner?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/PractitionerRole?version=4.0.1>         ] [
fhir:v "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Organization?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.source" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.productOrService" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.productOrService" ] ;
fhir:short [ fhir:v "Billing, service, product, or drug code" ] ;
fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ;
fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ;
fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ;
      ( fhir:alias [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.productOrService" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServiceProduct"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Allowable service and product codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-uscls|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-uscls?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.modifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.modifier" ] ;
fhir:short [ fhir:v "Service/Product billing modifiers" ] ;
fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ;
fhir:comment [ fhir:v "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ] ;
fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.modifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Modifiers"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-modifiers?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.programCode" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.programCode" ] ;
fhir:short [ fhir:v "Program the product or service is provided under" ] ;
fhir:definition [ fhir:v "Identifies the program under which this may be recovered." ] ;
fhir:comment [ fhir:v "For example: Neonatal program, child dental program or drug users recovery program." ] ;
fhir:requirements [ fhir:v "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.programCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ProgramCode"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Program specific reason codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-program-code|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-program-code?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.serviced[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.serviced[x]" ] ;
fhir:short [ fhir:v "Date or dates of service or product delivery" ] ;
fhir:definition [ fhir:v "The date or dates when the service or product was supplied, performed or completed." ] ;
fhir:requirements [ fhir:v "Needed to determine whether the  service or product was provided during the term of the insurance coverage." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.serviced[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "date"^^xsd:anyURI ;
fhir:l fhir:date         ]       ] [
fhir:code [
fhir:v "Period"^^xsd:anyURI ;
fhir:l fhir:Period         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.done[x]" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.location[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.location[x]" ] ;
fhir:short [ fhir:v "Place of service or where product was supplied" ] ;
fhir:definition [ fhir:v "Where the product or service was provided." ] ;
fhir:requirements [ fhir:v "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.location[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] [
fhir:code [
fhir:v "Address"^^xsd:anyURI ;
fhir:l fhir:Address         ]       ] [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Location|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Location?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServicePlace"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Place where the service is rendered." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-place|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-place?version=4.0.1>         ]       ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "w5" ] ;
fhir:map [ fhir:v "FiveWs.where[x]" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.quantity" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.quantity" ] ;
fhir:short [ fhir:v "Count of products or services" ] ;
fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ;
fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.quantity" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Quantity"^^xsd:anyURI ;
fhir:l fhir:Quantity         ] ;
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/SimpleQuantity?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.unitPrice" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.unitPrice" ] ;
fhir:short [ fhir:v "Fee, charge or cost per item" ] ;
fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ;
fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.unitPrice" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.factor" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.factor" ] ;
fhir:short [ fhir:v "Price scaling factor" ] ;
fhir:definition [ fhir:v "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ] ;
fhir:comment [ fhir:v "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ] ;
fhir:requirements [ fhir:v "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.factor" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "decimal"^^xsd:anyURI ;
fhir:l fhir:decimal         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.net" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.net" ] ;
fhir:short [ fhir:v "Total item cost" ] ;
fhir:definition [ fhir:v "The quantity times the unit price for an additional service or product or charge." ] ;
fhir:comment [ fhir:v "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied." ] ;
fhir:requirements [ fhir:v "Provides the total amount claimed  for the group (if a grouper) or the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.net" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.bodySite" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.bodySite" ] ;
fhir:short [ fhir:v "Anatomical location" ] ;
fhir:definition [ fhir:v "Physical service site on the patient (limb, tooth, etc.)." ] ;
fhir:comment [ fhir:v "For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed." ] ;
fhir:requirements [ fhir:v "Allows insurer to validate specific procedures." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.bodySite" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "OralSites"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The code for the teeth, quadrant, sextant and arch." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/tooth|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/tooth?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.subSite" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.subSite" ] ;
fhir:short [ fhir:v "Anatomical sub-location" ] ;
fhir:definition [ fhir:v "A region or surface of the bodySite, e.g. limb region or tooth surface(s)." ] ;
fhir:requirements [ fhir:v "Allows insurer to validate specific procedures." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.subSite" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Surface"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The code for the tooth surface and surface combinations." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/surface|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/surface?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.noteNumber" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.noteNumber" ] ;
fhir:short [ fhir:v "Applicable note numbers" ] ;
fhir:definition [ fhir:v "The numbers associated with notes below which apply to the adjudication of this item." ] ;
fhir:requirements [ fhir:v "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.noteNumber" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.adjudication" ] ;
fhir:short [ fhir:v "Added items adjudication" ] ;
fhir:definition [ fhir:v "The adjudication results." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.adjudication" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:contentReference [
fhir:v "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication>       ] ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail" ] ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint>         ] ;
fhir:value [
a fhir:String ;
fhir:v "740;600"         ]       ] ) ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail" ] ;
fhir:short [ fhir:v "Insurer added line items" ] ;
fhir:definition [ fhir:v "The second-tier service adjudications for payor added services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.productOrService" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.productOrService" ] ;
fhir:short [ fhir:v "Billing, service, product, or drug code" ] ;
fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ;
fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ;
fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ;
      ( fhir:alias [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.productOrService" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServiceProduct"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Allowable service and product codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-uscls|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-uscls?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.modifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.modifier" ] ;
fhir:short [ fhir:v "Service/Product billing modifiers" ] ;
fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ;
fhir:comment [ fhir:v "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ] ;
fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.modifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Modifiers"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-modifiers?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.quantity" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.quantity" ] ;
fhir:short [ fhir:v "Count of products or services" ] ;
fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ;
fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.quantity" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Quantity"^^xsd:anyURI ;
fhir:l fhir:Quantity         ] ;
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/SimpleQuantity?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.unitPrice" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.unitPrice" ] ;
fhir:short [ fhir:v "Fee, charge or cost per item" ] ;
fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ;
fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.unitPrice" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.factor" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.factor" ] ;
fhir:short [ fhir:v "Price scaling factor" ] ;
fhir:definition [ fhir:v "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ] ;
fhir:comment [ fhir:v "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ] ;
fhir:requirements [ fhir:v "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.factor" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "decimal"^^xsd:anyURI ;
fhir:l fhir:decimal         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.net" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.net" ] ;
fhir:short [ fhir:v "Total item cost" ] ;
fhir:definition [ fhir:v "The quantity times the unit price for an additional service or product or charge." ] ;
fhir:comment [ fhir:v "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied." ] ;
fhir:requirements [ fhir:v "Provides the total amount claimed  for the group (if a grouper) or the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.net" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.noteNumber" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.noteNumber" ] ;
fhir:short [ fhir:v "Applicable note numbers" ] ;
fhir:definition [ fhir:v "The numbers associated with notes below which apply to the adjudication of this item." ] ;
fhir:requirements [ fhir:v "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.noteNumber" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.adjudication" ] ;
fhir:short [ fhir:v "Added items adjudication" ] ;
fhir:definition [ fhir:v "The adjudication results." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.adjudication" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:contentReference [
fhir:v "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication>       ] ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail" ] ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint>         ] ;
fhir:value [
a fhir:String ;
fhir:v "740;600"         ]       ] ) ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail" ] ;
fhir:short [ fhir:v "Insurer added line items" ] ;
fhir:definition [ fhir:v "The third-tier service adjudications for payor added services." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ] ;
fhir:short [ fhir:v "Billing, service, product, or drug code" ] ;
fhir:definition [ fhir:v "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ] ;
fhir:comment [ fhir:v "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ] ;
fhir:requirements [ fhir:v "Necessary to state what was provided or done." ] ;
      ( fhir:alias [ fhir:v "Drug Code" ] [ fhir:v "Bill Code" ] [ fhir:v "Service Code" ] ) ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "ServiceProduct"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Allowable service and product codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/service-uscls|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/service-uscls?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ] ;
fhir:short [ fhir:v "Service/Product billing modifiers" ] ;
fhir:definition [ fhir:v "Item typification or modifiers codes to convey additional context for the product or service." ] ;
fhir:comment [ fhir:v "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ] ;
fhir:requirements [ fhir:v "To support inclusion of the item for adjudication or to charge an elevated fee." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Modifiers"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-modifiers|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-modifiers?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ] ;
fhir:short [ fhir:v "Count of products or services" ] ;
fhir:definition [ fhir:v "The number of repetitions of a service or product." ] ;
fhir:requirements [ fhir:v "Required when the product or service code does not convey the quantity provided." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Quantity"^^xsd:anyURI ;
fhir:l fhir:Quantity         ] ;
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/SimpleQuantity?version=4.0.1>         ] )       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ] ;
fhir:short [ fhir:v "Fee, charge or cost per item" ] ;
fhir:definition [ fhir:v "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ] ;
fhir:requirements [ fhir:v "The amount charged to the patient by the provider for a single unit." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.factor" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.factor" ] ;
fhir:short [ fhir:v "Price scaling factor" ] ;
fhir:definition [ fhir:v "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ] ;
fhir:comment [ fhir:v "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ] ;
fhir:requirements [ fhir:v "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.factor" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "decimal"^^xsd:anyURI ;
fhir:l fhir:decimal         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.net" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.net" ] ;
fhir:short [ fhir:v "Total item cost" ] ;
fhir:definition [ fhir:v "The quantity times the unit price for an additional service or product or charge." ] ;
fhir:comment [ fhir:v "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied." ] ;
fhir:requirements [ fhir:v "Provides the total amount claimed  for the group (if a grouper) or the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.net" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ] ;
fhir:short [ fhir:v "Applicable note numbers" ] ;
fhir:definition [ fhir:v "The numbers associated with notes below which apply to the adjudication of this item." ] ;
fhir:requirements [ fhir:v "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ] ;
fhir:short [ fhir:v "Added items adjudication" ] ;
fhir:definition [ fhir:v "The adjudication results." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:contentReference [
fhir:v "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication>       ] ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.adjudication" ] ;
fhir:short [ fhir:v "Header-level adjudication" ] ;
fhir:definition [ fhir:v "The adjudication results which are presented at the header level rather than at the line-item or add-item levels." ] ;
fhir:requirements [ fhir:v "Some insurers will receive line-items but provide the adjudication only at a summary or header-level." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.adjudication" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:contentReference [
fhir:v "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication>       ] ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total" ] ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint>         ] ;
fhir:value [
a fhir:String ;
fhir:v "'360;620"         ]       ] ) ;
fhir:path [ fhir:v "ExplanationOfBenefit.total" ] ;
fhir:short [ fhir:v "Tổng hợp theo nhóm giám định" ] ;
fhir:definition [ fhir:v "Categorized monetary totals for the adjudication." ] ;
fhir:comment [ fhir:v "Totals for amounts submitted, co-pays, benefits payable etc." ] ;
fhir:requirements [ fhir:v "To provide the requestor with financial totals by category for the adjudication." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.total" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total.category" ] ;
fhir:short [ fhir:v "Loại tổng: submitted | eligible | copay | benefit hoặc category BHYT cục bộ" ] ;
fhir:definition [ fhir:v "Category tổng hợp tài chính/adjudication. Dùng ConceptMap `vn-cm-bhyt-financial-field-to-adjudication` để map các trường tổng tiền BHYT như `T_TONGCHI`, `T_TONGCHI_BH`, `T_BHTT`, `T_BNCCT`, `T_BNTT`, `T_NGUONKHAC`, `T_NGOAIDS`, `T_THUOC`, `T_VTYT`. Không encode công thức quyền lợi hoặc adjudication business rule tại profile." ] ;
fhir:comment [ fhir:v "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ] ;
fhir:requirements [ fhir:v "Needed to convey the type of total provided." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.total.category" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-bhyt-adjudication-category-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-bhyt-adjudication-category-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total.amount" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total.amount" ] ;
fhir:short [ fhir:v "Số tiền" ] ;
fhir:definition [ fhir:v "Monetary total amount associated with the category." ] ;
fhir:requirements [ fhir:v "Needed to convey the total monetary amount." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.total.amount" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment" ] ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint>         ] ;
fhir:value [
a fhir:String ;
fhir:v "360;650"         ]       ] ) ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment" ] ;
fhir:short [ fhir:v "Thông tin thanh toán" ] ;
fhir:definition [ fhir:v "Payment details for the adjudication of the claim." ] ;
fhir:requirements [ fhir:v "Needed to convey references to the financial instrument that has been used if payment has been made." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payment" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.type" ] ;
fhir:short [ fhir:v "Loại thanh toán" ] ;
fhir:definition [ fhir:v "Whether this represents partial or complete payment of the benefits payable." ] ;
fhir:requirements [ fhir:v "To advise the requestor when the insurer believes all payments to have been completed." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payment.type" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "PaymentType"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The type (partial, complete) of the payment." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-paymenttype|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-paymenttype?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.adjustment" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.adjustment" ] ;
fhir:short [ fhir:v "Payment adjustment for non-claim issues" ] ;
fhir:definition [ fhir:v "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication." ] ;
fhir:comment [ fhir:v "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider." ] ;
fhir:requirements [ fhir:v "To advise the requestor of adjustments applied to the payment." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payment.adjustment" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.adjustmentReason" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.adjustmentReason" ] ;
fhir:short [ fhir:v "Explanation for the variance" ] ;
fhir:definition [ fhir:v "Reason for the payment adjustment." ] ;
fhir:requirements [ fhir:v "Needed to clarify the monetary adjustment." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payment.adjustmentReason" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "PaymentAdjustmentReason"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Payment Adjustment reason codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/payment-adjustment-reason|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/payment-adjustment-reason?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.date" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.date" ] ;
fhir:short [ fhir:v "Expected date of payment" ] ;
fhir:definition [ fhir:v "Estimated date the payment will be issued or the actual issue date of payment." ] ;
fhir:requirements [ fhir:v "To advise the payee when payment can be expected." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payment.date" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "date"^^xsd:anyURI ;
fhir:l fhir:date         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.amount" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.amount" ] ;
fhir:short [ fhir:v "Số tiền BHYT thanh toán" ] ;
fhir:definition [ fhir:v "Benefits payable less any payment adjustment." ] ;
fhir:requirements [ fhir:v "Needed to provide the actual payment amount." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payment.amount" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.identifier" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.identifier" ] ;
fhir:short [ fhir:v "Business identifier for the payment" ] ;
fhir:definition [ fhir:v "Issuer's unique identifier for the payment instrument." ] ;
fhir:comment [ fhir:v "For example: EFT number or check number." ] ;
fhir:requirements [ fhir:v "Enable the receiver to reconcile when payment received." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.payment.identifier" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Identifier"^^xsd:anyURI ;
fhir:l fhir:Identifier         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.formCode" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.formCode" ] ;
fhir:short [ fhir:v "Printed form identifier" ] ;
fhir:definition [ fhir:v "A code for the form to be used for printing the content." ] ;
fhir:comment [ fhir:v "May be needed to identify specific jurisdictional forms." ] ;
fhir:requirements [ fhir:v "Needed to specify the specific form used for producing output for this response." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.formCode" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Forms"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "The forms codes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/forms|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/forms?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.form" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.form" ] ;
fhir:short [ fhir:v "Printed reference or actual form" ] ;
fhir:definition [ fhir:v "The actual form, by reference or inclusion, for printing the content or an EOB." ] ;
fhir:comment [ fhir:v "Needed to permit insurers to include the actual form." ] ;
fhir:requirements [ fhir:v "Needed to include the specific form used for producing output for this response." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.form" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Attachment"^^xsd:anyURI ;
fhir:l fhir:Attachment         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote" ] ;
fhir:short [ fhir:v "Note concerning adjudication" ] ;
fhir:definition [ fhir:v "A note that describes or explains adjudication results in a human readable form." ] ;
fhir:requirements [ fhir:v "Provides the insurer specific textual explanations associated with the processing." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.processNote" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote.number" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.number" ] ;
fhir:short [ fhir:v "Note instance identifier" ] ;
fhir:definition [ fhir:v "A number to uniquely identify a note entry." ] ;
fhir:requirements [ fhir:v "Necessary to provide a mechanism to link from adjudications." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.number" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "positiveInt"^^xsd:anyURI ;
fhir:l fhir:positiveInt         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.type" ] ;
fhir:short [ fhir:v "display | print | printoper" ] ;
fhir:definition [ fhir:v "The business purpose of the note text." ] ;
fhir:requirements [ fhir:v "To convey the expectation for when the text is used." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.type" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "code"^^xsd:anyURI ;
fhir:l fhir:code         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "NoteType"           ]         ] ) ;
fhir:strength [ fhir:v "required" ] ;
fhir:description [ fhir:v "The presentation types of notes." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/note-type|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/note-type?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote.text" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.text" ] ;
fhir:short [ fhir:v "Note explanatory text" ] ;
fhir:definition [ fhir:v "The explanation or description associated with the processing." ] ;
fhir:requirements [ fhir:v "Required to provide human readable explanation." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.text" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.processNote.language" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.language" ] ;
fhir:short [ fhir:v "Language of the text" ] ;
fhir:definition [ fhir:v "A code to define the language used in the text of the note." ] ;
fhir:comment [ fhir:v "Only required if the language is different from the resource language." ] ;
fhir:requirements [ fhir:v "Note text may vary from the resource defined language." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.processNote.language" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet>           ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/fhir/ValueSet/all-languages"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/all-languages>           ]         ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "Language"           ]         ] ) ;
fhir:strength [ fhir:v "preferred" ] ;
fhir:description [ fhir:v "A human language." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/languages|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/languages?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitPeriod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitPeriod" ] ;
fhir:short [ fhir:v "Kỳ quyền lợi BHYT" ] ;
fhir:definition [ fhir:v "The term of the benefits documented in this response." ] ;
fhir:comment [ fhir:v "Not applicable when use=claim." ] ;
fhir:requirements [ fhir:v "Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitPeriod" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Period"^^xsd:anyURI ;
fhir:l fhir:Period         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance" ] ;
fhir:short [ fhir:v "Balance by Benefit Category" ] ;
fhir:definition [ fhir:v "Balance by Benefit Category." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.category" ] ;
fhir:short [ fhir:v "Benefit classification" ] ;
fhir:definition [ fhir:v "Code to identify the general type of benefits under which products and services are provided." ] ;
fhir:comment [ fhir:v "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ] ;
fhir:requirements [ fhir:v "Needed to convey the category of service or product for which eligibility is sought." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.category" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "BenefitCategory"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Benefit categories such as: oral, medical, vision, oral-basic etc." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/ex-benefitcategory?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.excluded" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.excluded" ] ;
fhir:short [ fhir:v "Excluded from the plan" ] ;
fhir:definition [ fhir:v "True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage." ] ;
fhir:requirements [ fhir:v "Needed to identify items that are specifically excluded from the coverage." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.excluded" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "boolean"^^xsd:anyURI ;
fhir:l fhir:boolean         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.name" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.name" ] ;
fhir:short [ fhir:v "Short name for the benefit" ] ;
fhir:definition [ fhir:v "A short name or tag for the benefit." ] ;
fhir:comment [ fhir:v "For example: MED01, or DENT2." ] ;
fhir:requirements [ fhir:v "Required to align with other plan names." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.name" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.description" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.description" ] ;
fhir:short [ fhir:v "Description of the benefit or services covered" ] ;
fhir:definition [ fhir:v "A richer description of the benefit or services covered." ] ;
fhir:comment [ fhir:v "For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'." ] ;
fhir:requirements [ fhir:v "Needed for human readable reference." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.description" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.network" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.network" ] ;
fhir:short [ fhir:v "In or out of network" ] ;
fhir:definition [ fhir:v "Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers." ] ;
fhir:requirements [ fhir:v "Needed as in or out of network providers are treated differently under the coverage." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.network" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "BenefitNetwork"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Code to classify in or out of network services." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/benefit-network|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/benefit-network?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.unit" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.unit" ] ;
fhir:short [ fhir:v "Individual or family" ] ;
fhir:definition [ fhir:v "Indicates if the benefits apply to an individual or to the family." ] ;
fhir:requirements [ fhir:v "Needed for the understanding of the benefits." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.unit" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "BenefitUnit"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Unit covered/serviced - individual or family." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/benefit-unit|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/benefit-unit?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.term" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.term" ] ;
fhir:short [ fhir:v "Annual or lifetime" ] ;
fhir:definition [ fhir:v "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'." ] ;
fhir:requirements [ fhir:v "Needed for the understanding of the benefits." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.term" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "BenefitTerm"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Coverage unit - annual, lifetime." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/benefit-term|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/benefit-term?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.financial" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial" ] ;
fhir:short [ fhir:v "Benefit Summary" ] ;
fhir:definition [ fhir:v "Benefits Used to date." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "BackboneElement"^^xsd:anyURI ;
fhir:l fhir:BackboneElement         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.id" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.id" ] ;
      ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "Element.id" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
fhir:value [
a fhir:Url ;
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string           ]         ] ) ;
fhir:code [
fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.extension" ] ;
fhir:short [ fhir:v "Additional content defined by implementations" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Element.extension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "n/a" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ] ;
fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
      ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
fhir:key [ fhir:v "ext-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
fhir:isModifier [ fhir:v true ] ;
fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
fhir:isSummary [ fhir:v true ] ;
      ( fhir:mapping [
fhir:identity [ fhir:v "rim" ] ;
fhir:map [ fhir:v "N/A" ]       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.type" ] ;
fhir:short [ fhir:v "Benefit classification" ] ;
fhir:definition [ fhir:v "Classification of benefit being provided." ] ;
fhir:comment [ fhir:v "For example: deductible, visits, benefit amount." ] ;
fhir:requirements [ fhir:v "Needed to convey the nature of the benefit." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.type" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ] ;
fhir:binding [
        ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>           ] ;
fhir:value [
a fhir:String ;
fhir:v "BenefitType"           ]         ] ) ;
fhir:strength [ fhir:v "example" ] ;
fhir:description [ fhir:v "Deductable, visits, co-pay, etc." ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/benefit-type|4.0.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/benefit-type?version=4.0.1>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ] ;
fhir:short [ fhir:v "Benefits allowed" ] ;
fhir:definition [ fhir:v "The quantity of the benefit which is permitted under the coverage." ] ;
fhir:requirements [ fhir:v "Needed to convey the benefits offered under the coverage." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "unsignedInt"^^xsd:anyURI ;
fhir:l fhir:unsignedInt         ]       ] [
fhir:code [
fhir:v "string"^^xsd:anyURI ;
fhir:l fhir:string         ]       ] [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.used[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.used[x]" ] ;
fhir:short [ fhir:v "Benefits used" ] ;
fhir:definition [ fhir:v "The quantity of the benefit which have been consumed to date." ] ;
fhir:requirements [ fhir:v "Needed to convey the benefits consumed to date." ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
fhir:base [
fhir:path [ fhir:v "ExplanationOfBenefit.benefitBalance.financial.used[x]" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ]       ] ;
      ( fhir:type [
fhir:code [
fhir:v "unsignedInt"^^xsd:anyURI ;
fhir:l fhir:unsignedInt         ]       ] [
fhir:code [
fhir:v "Money"^^xsd:anyURI ;
fhir:l fhir:Money         ]       ] ) ;
      ( fhir:constraint [
fhir:key [ fhir:v "ele-1" ] ;
fhir:severity [ fhir:v "error" ] ;
fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
fhir:source [
fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
fhir:isModifier [ fhir:v false ] ;
fhir:isSummary [ fhir:v false ]     ] )
  ] ; # 
  fhir:differential [
    ( fhir:element [
fhir:id [ fhir:v "ExplanationOfBenefit" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit" ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension:costSummary" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:sliceName [ fhir:v "costSummary" ] ;
fhir:short [ fhir:v "Tổng chi phí theo nhóm: thuốc, VTYT, BHYT, tự trả, cùng chi trả, nguồn khác" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-cost-summary>         ] )       ] ) ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension:paymentPeriod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:sliceName [ fhir:v "paymentPeriod" ] ;
fhir:short [ fhir:v "Kỳ thanh toán BHYT (năm/tháng) — NAM_QT, THANG_QT" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-payment-period>         ] )       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.extension:paymentMethod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.extension" ] ;
fhir:sliceName [ fhir:v "paymentMethod" ] ;
fhir:short [ fhir:v "Phương thức thanh toán (FFS/Capitation/DRG) — MA_PTTT_QT" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-method>         ] )       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.status" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.status" ] ;
fhir:short [ fhir:v "Trạng thái giải trình" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.type" ] ;
fhir:short [ fhir:v "Loại: institutional (nội trú), professional (ngoại trú)" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.use" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.use" ] ;
fhir:short [ fhir:v "Mục đích: claim (thanh toán)" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.patient" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.patient" ] ;
fhir:short [ fhir:v "Bệnh nhân" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-patient>         ] )       ] ) ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.created" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.created" ] ;
fhir:short [ fhir:v "Ngày tạo giải trình" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurer" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurer" ] ;
fhir:short [ fhir:v "Cơ quan BHXH thanh toán" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization>         ] )       ] ) ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.provider" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.provider" ] ;
fhir:short [ fhir:v "Cơ sở KCB thực hiện" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-organization>         ] [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner>         ] [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-practitioner-role>         ] )       ] ) ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.outcome" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.outcome" ] ;
fhir:short [ fhir:v "Kết quả giám định: complete | partial | error" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis" ] ;
fhir:short [ fhir:v "Chẩn đoán — ICD-10 VN" ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.sequence" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "type" ] ;
fhir:path [ fhir:v "$this" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]:diagnosisCodeableConcept" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.diagnosis[x]" ] ;
fhir:sliceName [ fhir:v "diagnosisCodeableConcept" ] ;
fhir:short [ fhir:v "Mã bệnh ICD-10 VN" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
fhir:mustSupport [ fhir:v true ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-condition-code-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-condition-code-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.diagnosis.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.diagnosis.type" ] ;
fhir:short [ fhir:v "Loại chẩn đoán (chính/phụ)" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure" ] ;
fhir:short [ fhir:v "Thủ thuật/phẫu thuật — ICD-9-CM" ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "type" ] ;
fhir:path [ fhir:v "$this" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]:procedureCodeableConcept" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.procedure.procedure[x]" ] ;
fhir:sliceName [ fhir:v "procedureCodeableConcept" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "CodeableConcept"^^xsd:anyURI ;
fhir:l fhir:CodeableConcept         ]       ] ) ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-procedure-code-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-procedure-code-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance" ] ;
fhir:short [ fhir:v "Thông tin BHYT" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.focal" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.focal" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.insurance.coverage" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.insurance.coverage" ] ;
fhir:short [ fhir:v "Thẻ BHYT (Coverage)" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Reference"^^xsd:anyURI ;
fhir:l fhir:Reference         ] ;
        ( fhir:targetProfile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage>         ] )       ] ) ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item" ] ;
fhir:short [ fhir:v "Chi tiết chi phí — 12 nhóm per QĐ 697/QĐ-BYT" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:slicing [
        ( fhir:discriminator [
fhir:type [ fhir:v "value" ] ;
fhir:path [ fhir:v "url" ]         ] ) ;
fhir:ordered [ fhir:v false ] ;
fhir:rules [ fhir:v "open" ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:paymentSource" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "paymentSource" ] ;
fhir:short [ fhir:v "Nguồn chi trả dòng chi phí (NGUON_CTRA)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-payment-source>         ] )       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:recurrentWoundBenefit" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "recurrentWoundBenefit" ] ;
fhir:short [ fhir:v "Flag VET_THUONG_TP cho dòng thuốc/DVKT/VTYT" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-recurrent-wound-benefit"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-recurrent-wound-benefit>         ] )       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:tenderInfo" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "tenderInfo" ] ;
fhir:short [ fhir:v "Thông tin thầu dòng chi phí (TT_THAU)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-tender-info>         ] )       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.extension:processingMethod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.extension" ] ;
fhir:sliceName [ fhir:v "processingMethod" ] ;
fhir:short [ fhir:v "Phương pháp chế biến YHCT (MA_PP_CHEBIEN)" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "1" ] ;
      ( fhir:type [
fhir:code [
fhir:v "Extension"^^xsd:anyURI ;
fhir:l fhir:Extension         ] ;
        ( fhir:profile [
fhir:v "http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-traditional-processing-method>         ] )       ] )     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.sequence" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.sequence" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.category" ] ;
fhir:short [ fhir:v "Nhóm chi phí (QĐ 697)" ] ;
fhir:mustSupport [ fhir:v true ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-cost-category-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-cost-category-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.productOrService" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.productOrService" ] ;
fhir:short [ fhir:v "Mã dịch vụ/thuốc/TBYT" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.quantity" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.quantity" ] ;
fhir:short [ fhir:v "Số lượng" ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.unitPrice" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.unitPrice" ] ;
fhir:short [ fhir:v "Đơn giá" ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.net" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.net" ] ;
fhir:short [ fhir:v "Thành tiền" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication" ] ;
fhir:short [ fhir:v "Kết quả giám định từng dòng" ] ;
fhir:definition [ fhir:v "Kết quả giám định từng dòng nếu hệ thống nguồn có line-level adjudication. EOB có thể chỉ mang total-level adjudication trong một số báo cáo/patient-facing use case, nên element này không bị bắt buộc như VNCoreClaimResponse." ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.category" ] ;
fhir:definition [ fhir:v "Category giám định từng dòng. Ưu tiên HL7 adjudication (`submitted`, `eligible`, `copay`, `benefit`) cho line-level adjudication; các subtotal cục bộ của VN Core không dùng ở line-level." ] ;
fhir:mustSupport [ fhir:v true ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/adjudication"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/adjudication>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.item.adjudication.amount" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.item.adjudication.amount" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total" ] ;
fhir:short [ fhir:v "Tổng hợp theo nhóm giám định" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total.category" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total.category" ] ;
fhir:short [ fhir:v "Loại tổng: submitted | eligible | copay | benefit hoặc category BHYT cục bộ" ] ;
fhir:definition [ fhir:v "Category tổng hợp tài chính/adjudication. Dùng ConceptMap `vn-cm-bhyt-financial-field-to-adjudication` để map các trường tổng tiền BHYT như `T_TONGCHI`, `T_TONGCHI_BH`, `T_BHTT`, `T_BNCCT`, `T_BNTT`, `T_NGUONKHAC`, `T_NGOAIDS`, `T_THUOC`, `T_VTYT`. Không encode công thức quyền lợi hoặc adjudication business rule tại profile." ] ;
fhir:mustSupport [ fhir:v true ] ;
fhir:binding [
fhir:strength [ fhir:v "extensible" ] ;
fhir:valueSet [
fhir:v "http://fhir.hl7.org.vn/core/ValueSet/vn-bhyt-adjudication-category-vs"^^xsd:anyURI ;
fhir:l <http://fhir.hl7.org.vn/core/ValueSet/vn-bhyt-adjudication-category-vs>         ]       ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.total.amount" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.total.amount" ] ;
fhir:short [ fhir:v "Số tiền" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment" ] ;
fhir:short [ fhir:v "Thông tin thanh toán" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.type" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.type" ] ;
fhir:short [ fhir:v "Loại thanh toán" ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.payment.amount" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.payment.amount" ] ;
fhir:short [ fhir:v "Số tiền BHYT thanh toán" ] ;
fhir:mustSupport [ fhir:v true ]     ] [
fhir:id [ fhir:v "ExplanationOfBenefit.benefitPeriod" ] ;
fhir:path [ fhir:v "ExplanationOfBenefit.benefitPeriod" ] ;
fhir:short [ fhir:v "Kỳ quyền lợi BHYT" ]     ] )
  ] . #