Schema Name: ClaimSubmission.xsd
Collapse XSD Schema Code:

<xs:schema xmlns:tns="http://www.eclaimlink.ae/DHD/ValidationSchema" elementFormDefault="qualified" version="2.0" id="ClaimSubmission" xmlns:xs="http://www.w3.org/2001/XMLSchema">
	<xs:import schemaLocation="CommonTypes.xsd" namespace="http://www.eclaimlink.ae/DHD/ValidationSchema" />
    <xs:element name="Claim.Submission">
        <xs:complexType>
            <xs:sequence>
                <xs:element name="Header">
                    <xs:complexType>
                        <xs:sequence>
                            <xs:element minOccurs="1" maxOccurs="1" name="SenderID" type="tns:HeaderSenderID" />
                            <xs:element minOccurs="1" maxOccurs="1" name="ReceiverID" type="tns:HeaderReceiverID" />
                            <xs:element minOccurs="1" maxOccurs="1" name="TransactionDate" type="tns:HeaderTransactionDate" />
                            <xs:element minOccurs="1" maxOccurs="1" name="RecordCount" type="tns:HeaderRecordCount" />
                            <xs:element minOccurs="1" maxOccurs="1" name="DispositionFlag" type="tns:HeaderDispositionFlag" />
                        </xs:sequence>
                    </xs:complexType>
                </xs:element>
                <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>
            </xs:sequence>
        </xs:complexType>
    </xs:element>
</xs:schema>
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