Definition Type: Element
Name: Claim
Containing Schema: ClaimSubmission.xsd
MinOccurs 1
MaxOccurs unbounded
Abstract
Collapse XSD Schema Diagram:
Drilldown into Contract Drilldown into Resubmission Drilldown into Activity Drilldown into Diagnosis Drilldown into Encounter Drilldown into Net Drilldown into PatientShare Drilldown into Gross Drilldown into EmiratesIDNumber Drilldown into Weight Drilldown into ProviderID Drilldown into PayerID Drilldown into MemberID Drilldown into IDPayer Drilldown into IDXSD Diagram of Claim
Collapse XSD Schema Code:
<xs:element minOccurs="1" maxOccurs="unbounded" name="Claim">
    <xs:complexType>
        <xs:sequence>
            <xs:element minOccurs="1" maxOccurs="1" name="ID" type="tns:ClaimID" />
            <xs:element minOccurs="0" maxOccurs="1" name="IDPayer" type="tns:ClaimIDPayer" />
            <xs:element minOccurs="0" maxOccurs="1" name="MemberID" type="tns:ClaimMemberID" />
            <xs:element minOccurs="1" maxOccurs="1" name="PayerID" type="tns:ClaimPayerID" />
            <xs:element minOccurs="1" maxOccurs="1" name="ProviderID" type="tns:ClaimProviderID" />
            <xs:element minOccurs="0" maxOccurs="1" name="Weight" type="tns:PatientWeight" />
            <xs:element minOccurs="1" maxOccurs="1" name="EmiratesIDNumber" type="tns:ClaimEmiratesIDNumber" />
            <xs:element minOccurs="1" maxOccurs="1" name="Gross" type="tns:ClaimGross" />
            <xs:element minOccurs="1" maxOccurs="1" name="PatientShare" type="tns:ClaimPatientShare" />
            <xs:element minOccurs="1" maxOccurs="1" name="Net" type="tns:ClaimNet" />
            <xs:element minOccurs="0" maxOccurs="1" name="Encounter">
                <xs:complexType>
                    <xs:sequence>
                        <xs:element minOccurs="1" maxOccurs="1" name="FacilityID" type="tns:EncounterFacilityID" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Type" type="tns:EncounterType" />
                        <xs:element minOccurs="1" maxOccurs="1" name="PatientID" type="tns:EncounterPatientID" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Start" type="tns:EncounterStart" />
                        <xs:element minOccurs="0" maxOccurs="1" name="End" type="tns:EncounterEnd" />
                        <xs:element minOccurs="0" maxOccurs="1" name="StartType" type="tns:EncounterStartType" />
                        <xs:element minOccurs="0" maxOccurs="1" name="EndType" type="tns:EncounterEndType" />
                        <xs:element minOccurs="0" maxOccurs="1" name="TransferSource" type="tns:EncounterTransferSource" />
                        <xs:element minOccurs="0" maxOccurs="1" name="TransferDestination" type="tns:EncounterTransferDestination" />
                    </xs:sequence>
                </xs:complexType>
            </xs:element>
            <xs:element minOccurs="1" maxOccurs="unbounded" name="Diagnosis">
                <xs:complexType>
                    <xs:sequence>
                        <xs:element minOccurs="1" maxOccurs="1" name="Type" type="tns:DiagnosisType" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Code" type="tns:DiagnosisCode" />
                        <xs:element name="DxInfo" minOccurs="0" maxOccurs="unbounded">
                            <xs:complexType>
                                <xs:sequence>
                                    <xs:element minOccurs="1" name="Type" type="tns:DxInfoType" />
                                    <xs:element minOccurs="1" name="Code" type="tns:DxInfoCode" />
                                </xs:sequence>
                            </xs:complexType>
                        </xs:element>
                    </xs:sequence>
                </xs:complexType>
            </xs:element>
            <xs:element minOccurs="1" maxOccurs="unbounded" name="Activity">
                <xs:complexType>
                    <xs:sequence>
                        <xs:element minOccurs="1" maxOccurs="1" name="ID" type="tns:ActivityID" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Start" type="tns:ActivityStart" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Type" type="tns:ActivityType" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Code" type="tns:ActivityCode" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Quantity" type="tns:ActivityQuantity" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Net" type="tns:ActivityNet" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Clinician" type="tns:ActivityClinician" />
                        <xs:element minOccurs="0" maxOccurs="1" name="PriorAuthorizationID" type="tns:ActivityPriorAuthorizationID" />
                        <xs:element minOccurs="0" maxOccurs="unbounded" name="Observation">
                            <xs:complexType>
                                <xs:sequence>
                                    <xs:element minOccurs="1" maxOccurs="1" name="Type" type="tns:ObservationType" />
                                    <xs:element minOccurs="1" maxOccurs="1" name="Code" type="tns:ObservationCode" />
                                    <xs:element minOccurs="0" maxOccurs="1" name="Value" type="tns:ObservationValue" />
                                    <xs:element minOccurs="0" maxOccurs="1" name="ValueType" type="tns:ObservationValueType" />
                                </xs:sequence>
                            </xs:complexType>
                        </xs:element>
                    </xs:sequence>
                </xs:complexType>
            </xs:element>
            <xs:element minOccurs="0" maxOccurs="1" name="Resubmission">
                <xs:complexType>
                    <xs:sequence>
                        <xs:element minOccurs="1" maxOccurs="1" name="Type" type="tns:ResubmissionType" />
                        <xs:element minOccurs="1" maxOccurs="1" name="Comment" type="tns:ResubmissionComment" />
                        <xs:element minOccurs="0" maxOccurs="1" name="Attachment" type="tns:ResubmissionAttachments" />
                    </xs:sequence>
                </xs:complexType>
            </xs:element>
            <xs:element minOccurs="0" maxOccurs="1" name="Contract">
                <xs:complexType>
                    <xs:sequence>
                        <xs:element minOccurs="0" maxOccurs="1" name="PackageName" type="tns:ContractPackageName" />
                    </xs:sequence>
                </xs:complexType>
            </xs:element>
        </xs:sequence>
    </xs:complexType>
</xs:element>
Collapse Child Elements:
Name Type Min Occurs Max Occurs
ID ID 1 1
IDPayer IDPayer 0 1
MemberID MemberID 0 1
PayerID PayerID 1 1
ProviderID ProviderID 1 1
Weight Weight 0 1
EmiratesIDNumber EmiratesIDNumber 1 1
Gross Gross 1 1
PatientShare PatientShare 1 1
Net Net 1 1
Encounter Encounter 0 1
Diagnosis Diagnosis 1 unbounded
Activity Activity 1 unbounded
Resubmission Resubmission 0 1
Contract Contract 0 1