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Source1

{
  "resourceType": "StructureDefinition",
  "url": "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Claim",
  "id": "SpireCore-Claim",
  "name": "SpireCoreClaim",
  "status": "draft",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Claim",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Claim",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Claim.identifier.assigner",
        "path": "Claim.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.patient",
        "path": "Claim.patient",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient",
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "Claim.patient.identifier.assigner",
        "path": "Claim.patient.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.enterer",
        "path": "Claim.enterer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ]
      },
      {
        "id": "Claim.enterer.identifier.assigner",
        "path": "Claim.enterer.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.insurer",
        "path": "Claim.insurer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.insurer.identifier.assigner",
        "path": "Claim.insurer.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.provider",
        "path": "Claim.provider",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.provider.identifier.assigner",
        "path": "Claim.provider.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.related.claim",
        "path": "Claim.related.claim",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Claim",
              "http://hl7.org/fhir/StructureDefinition/Claim"
            ]
          }
        ]
      },
      {
        "id": "Claim.related.claim.identifier.assigner",
        "path": "Claim.related.claim.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.related.reference.assigner",
        "path": "Claim.related.reference.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.prescription",
        "path": "Claim.prescription",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DeviceRequest",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-VisionPrescription",
              "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
              "http://hl7.org/fhir/StructureDefinition/VisionPrescription"
            ]
          }
        ]
      },
      {
        "id": "Claim.prescription.identifier.assigner",
        "path": "Claim.prescription.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.originalPrescription",
        "path": "Claim.originalPrescription",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DeviceRequest",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-VisionPrescription",
              "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
              "http://hl7.org/fhir/StructureDefinition/VisionPrescription"
            ]
          }
        ]
      },
      {
        "id": "Claim.originalPrescription.identifier.assigner",
        "path": "Claim.originalPrescription.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.payee.party",
        "path": "Claim.payee.party",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ]
      },
      {
        "id": "Claim.payee.party.identifier.assigner",
        "path": "Claim.payee.party.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.referral",
        "path": "Claim.referral",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ServiceRequest",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ]
      },
      {
        "id": "Claim.referral.identifier.assigner",
        "path": "Claim.referral.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.facility",
        "path": "Claim.facility",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location",
              "http://hl7.org/fhir/StructureDefinition/Location"
            ]
          }
        ]
      },
      {
        "id": "Claim.facility.identifier.assigner",
        "path": "Claim.facility.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.careTeam.provider",
        "path": "Claim.careTeam.provider",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole",
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.careTeam.provider.identifier.assigner",
        "path": "Claim.careTeam.provider.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.supportingInfo.value[x]",
        "path": "Claim.supportingInfo.value[x]",
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "string"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Resource",
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ]
      },
      {
        "id": "Claim.diagnosis.diagnosis[x]",
        "path": "Claim.diagnosis.diagnosis[x]",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition",
              "http://hl7.org/fhir/StructureDefinition/Condition"
            ]
          }
        ]
      },
      {
        "id": "Claim.procedure.procedure[x]",
        "path": "Claim.procedure.procedure[x]",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure",
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ]
      },
      {
        "id": "Claim.procedure.udi",
        "path": "Claim.procedure.udi",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device",
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ]
      },
      {
        "id": "Claim.procedure.udi.identifier.assigner",
        "path": "Claim.procedure.udi.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.insurance.identifier.assigner",
        "path": "Claim.insurance.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.insurance.coverage",
        "path": "Claim.insurance.coverage",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Coverage",
              "http://hl7.org/fhir/StructureDefinition/Coverage"
            ]
          }
        ]
      },
      {
        "id": "Claim.insurance.coverage.identifier.assigner",
        "path": "Claim.insurance.coverage.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.insurance.claimResponse",
        "path": "Claim.insurance.claimResponse",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClaimResponse",
              "http://hl7.org/fhir/StructureDefinition/ClaimResponse"
            ]
          }
        ]
      },
      {
        "id": "Claim.insurance.claimResponse.identifier.assigner",
        "path": "Claim.insurance.claimResponse.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.accident.location[x]",
        "path": "Claim.accident.location[x]",
        "type": [
          {
            "code": "Address"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location",
              "http://hl7.org/fhir/StructureDefinition/Location"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.location[x]",
        "path": "Claim.item.location[x]",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Address"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location",
              "http://hl7.org/fhir/StructureDefinition/Location"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.udi",
        "path": "Claim.item.udi",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device",
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.udi.identifier.assigner",
        "path": "Claim.item.udi.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.encounter",
        "path": "Claim.item.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter",
              "http://hl7.org/fhir/StructureDefinition/Encounter"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.encounter.identifier.assigner",
        "path": "Claim.item.encounter.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.detail.udi",
        "path": "Claim.item.detail.udi",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device",
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.detail.udi.identifier.assigner",
        "path": "Claim.item.detail.udi.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.detail.subDetail.udi",
        "path": "Claim.item.detail.subDetail.udi",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device",
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ]
      },
      {
        "id": "Claim.item.detail.subDetail.udi.identifier.assigner",
        "path": "Claim.item.detail.subDetail.udi.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      }
    ]
  },
  "description": "A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement."
}