<xsd:schema targetNamespace="urn:schemas-kidtraks-invoice" xmlns:srs="urn:schemas-kidtraks-invoice" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:sqltypes="http://schemas.microsoft.com/sqlserver/2004/sqltypes" elementFormDefault="qualified" > <xsd:import namespace="http://schemas.microsoft.com/sqlserver/2004/sqltypes" schemaLocation="http://schemas.microsoft.com/sqlserver/2004/sqltypes/sqltypes.xsd" /> <xsd:element name="Control_Record"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" maxOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="01"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Invoice_Count" type="xsd:integer" minOccurs="1" maxOccurs="1" /> <xsd:element name="Total_Amount" minOccurs="1" maxOccurs="1"> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="On_Error" minOccurs="1" maxOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="A"/> <!-- Abort --> <xsd:enumeration value="C"/> <!-- Continue --> <xsd:enumeration value="S"/> <!-- Skip --> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Email_Address" type="xsd:string" minOccurs="1" maxOccurs="1" /> <xsd:element name="Phone_Number" type="xsd:string" minOccurs="1" maxOccurs="1" /> <xsd:element name="Security_Key" type="xsd:string" minOccurs="0" maxOccurs="1" /> <xsd:element ref="srs:Invoice_Header" minOccurs="1" maxOccurs="unbounded" /> </xsd:sequence> </xsd:complexType> </xsd:element> <xsd:element name="Invoice_Header"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="02"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Vendor_ID" type="xsd:string" minOccurs="1" /> <xsd:element name="Vendor_Location" type="xsd:string" minOccurs="1" /> <xsd:element name="Vendor_Address_Seq" type="xsd:integer" minOccurs="1" /> <xsd:element name="Invoice_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="Regular"/> <xsd:enumeration value="Homebuilder"/> <xsd:enumeration value="ACT"/> <!-- MDRC/UOM Rate Adjustment and Copay/Deductible --> <xsd:enumeration value="Group Rate Voucher"/> <xsd:enumeration value="Family Foster Home"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Bill_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="First Bill"/> <xsd:enumeration value="Re-Bill"/> <xsd:enumeration value="Appeal"/> <!-- MDRC/UOM Rate Adjustment and Copay/Deductible --> <xsd:enumeration value="Rate Adjustment"/> <xsd:enumeration value="Deductible/Co-pay"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Invoice_Number" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="8" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <!-- MDRC/UOM xsd:date to xs:dateTime--> <xsd:element name="Invoice_Date" type="xsd:date" minOccurs="0" /> <!--ignore and inherit from submission date (for future use)--> <xsd:element name="Reference_ID" minOccurs="0"> <!-- future use --> <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="50" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Comments" minOccurs="0"> <!-- additional misc information --> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="1000" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Remit_Message" minOccurs="0"> <!-- future use --> <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="50" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Service_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="Residential"/> <xsd:enumeration value="LCPA"/> <xsd:enumeration value="FosterParent"/> <xsd:enumeration value="FamilyPreservation"/> <xsd:enumeration value="IndependentLiving"/> <xsd:enumeration value="Adoption"/> <xsd:enumeration value="HomeBuilders"/> <xsd:enumeration value="CMHC"/> <xsd:enumeration value="Medicaid/BX/BH"/> <xsd:enumeration value="Group"/> <xsd:enumeration value="Court"/> <xsd:enumeration value="Reports"/> <xsd:enumeration value="Cross System Care Coord"/> <xsd:enumeration value="Appeals/Recon"/> <xsd:enumeration value="Material Assistance/Daycare"/> <xsd:enumeration value="FamPresPerDiem"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Total_Program_Costs" minOccurs="0"> <!-- Actual Cost / Cost Reimbursement Invoice use --> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Other_Revenue" minOccurs="0"> <!-- Actual Cost / Cost Reimbursement Invoice use --> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Count_Client_Days_Served" minOccurs="0"> <!-- Actual Cost / Cost Reimbursement Invoice use --> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Cost_Per_Client_Service_Day" minOccurs="0"> <!-- Actual Cost / Cost Reimbursement Invoice use --> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Avg_Number_of_Youth_Served" minOccurs="0"> <!-- Actual Cost / Cost Reimbursement Invoice use --> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Cost_Per_Youth_Service_Day" minOccurs="0"> <!-- Actual Cost / Cost Reimbursement Invoice use --> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element ref="srs:Invoice_Line" minOccurs="1" maxOccurs="48" /> <xsd:element ref="srs:Invoice_Header_Participant_Details" minOccurs="0" maxOccurs="unbounded" /> </xsd:sequence> </xsd:complexType> </xsd:element> <xsd:element name="Invoice_Line"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="03"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Billable_Unit_ID" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="50" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Person_ID" type="xsd:double" minOccurs="0" /> <xsd:element name="Case_ID" type="xsd:double" minOccurs="0" /> <xsd:element name="Billing_Code" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="15" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Service_Code" minOccurs="0" > <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="5" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Component_Code" minOccurs="0" > <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="5" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <!-- MDRC/UOM "xsd:date" to xs:dateTime--> <xsd:element name="Start_Date" type="xsd:dateTime" minOccurs="1" /> <xsd:element name="End_Date" type="xsd:dateTime" minOccurs="1" /> <!-- MDRC/UOM Units minOccurs= 0 from 1 --> <xsd:element name="Units" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <!-- MDRC/UOM Added all these --> <xsd:element name="UOM" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="sqltypes:varchar" > <xsd:enumeration value="ACTUAL COST"/> <xsd:enumeration value="MONTH"/> <xsd:enumeration value="HOUR"/> <xsd:enumeration value="DAY"/> <xsd:enumeration value="SESSION"/> <xsd:enumeration value="TEST"/> <xsd:enumeration value="PER DIEM"/> <xsd:enumeration value="FAMILY"/> <xsd:enumeration value="PERSON"/> <xsd:enumeration value="GROUP"/> <xsd:enumeration value="APPEARANCE"/> <xsd:enumeration value="ASSESSMENT"/> <xsd:enumeration value="15min"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <!-- MDRC/UOM rate minOccurs = 0 from 1 --> <xsd:element name="Rate" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <!-- MDRC/UOM Amount minOccurs = 0 from 1 --> <xsd:element name="Amount" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="County_Code" type="xsd:integer" minOccurs="0" /> <xsd:element name="Comments" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="1000" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Place_of_Service" minOccurs="0" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="Ambulance—Air or Water"/> <xsd:enumeration value="Ambulance—Land"/> <xsd:enumeration value="Ambulatory Surgical Center"/> <xsd:enumeration value="Assisted Living Facility"/> <xsd:enumeration value="Birthing Center"/> <xsd:enumeration value="Community Mental Health Center"/> <xsd:enumeration value="Comprehensive Inpatient Rehabilitation Facility"/> <xsd:enumeration value="Comprehensive Outpatient Rehabilitation Facility"/> <xsd:enumeration value="Custodial Care Facility"/> <xsd:enumeration value="Emergency Room-Hospital"/> <xsd:enumeration value="End-Stage Renal Disease Treatment Facility"/> <xsd:enumeration value="Federally Qualified Health Center"/> <xsd:enumeration value="Group Home"/> <xsd:enumeration value="Home"/> <xsd:enumeration value="Homeless Shelter"/> <xsd:enumeration value="Hospice"/> <xsd:enumeration value="Independent Clinic"/> <xsd:enumeration value="Independent Laboratory"/> <xsd:enumeration value="Inpatient Hospital"/> <xsd:enumeration value="Inpatient Psychiatric Facility"/> <xsd:enumeration value="Intermediate Care Facility/Mentally Retarded"/> <xsd:enumeration value="Mass Immunization Center"/> <xsd:enumeration value="Military Treatment Facility"/> <xsd:enumeration value="Mobile Unit"/> <xsd:enumeration value="Non-residential Substance Abuse Treatment Facility"/> <xsd:enumeration value="Nursing Facility"/> <xsd:enumeration value="Office"/> <xsd:enumeration value="Other Place of Service"/> <xsd:enumeration value="Outpatient Hospital"/> <xsd:enumeration value="Pharmacy"/> <xsd:enumeration value="Prison/Correctional Facility"/> <xsd:enumeration value="Psychiatric Facility-Partial Hospitalization"/> <xsd:enumeration value="Psychiatric Residential Treatment Center"/> <xsd:enumeration value="Residential Substance Abuse Treatment Facility"/> <xsd:enumeration value="Rural Health Clinic"/> <xsd:enumeration value="School"/> <xsd:enumeration value="Skilled Nursing Facility"/> <xsd:enumeration value="State or Local Public Health Clinic"/> <xsd:enumeration value="Temporary Lodging"/> <xsd:enumeration value="Urgent Care Facility"/> <xsd:enumeration value="Walk-in Retail Health Clinic"/> <xsd:enumeration value="DCS Office"/> <xsd:enumeration value="Other Public Place"/> <xsd:enumeration value="Provider Office"/> <xsd:enumeration value="Tribal 638 Free-Standing Facility"/> <xsd:enumeration value="Tribal 638 Provider-Based Facility"/> <xsd:enumeration value="Indian Health Service Provider-based Facility"/> <xsd:enumeration value="Indian Health Service Free-standing Facility"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element ref="srs:File_Attachment" minOccurs="0" maxOccurs="unbounded" /> <xsd:element ref="srs:Invoice_Line_Travel_Detail" minOccurs="0" maxOccurs="unbounded" /> <xsd:element ref="srs:Invoice_Line_Travel_Person_Days" minOccurs="0" maxOccurs="unbounded" /> <xsd:element ref="srs:Invoice_Line_Group_Detail" minOccurs="0" maxOccurs="unbounded" /> <xsd:element name="MDRC" type="xsd:string" minOccurs="0" maxOccurs="5" /> </xsd:sequence> </xsd:complexType> </xsd:element> <xsd:element name="Invoice_Line_Travel_Detail"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="04"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Resource_ID" type="xsd:double" minOccurs="0" /> <!-- MDRC/UOM "xsd:date" to xs:dateTime--> <xsd:element name="Travel_Date" type="xsd:date" minOccurs="1" /> <xsd:element name="Starting_Address" minOccurs="1"> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="1000" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Destination_Address" minOccurs="1"> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="1000" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Mileage" minOccurs="0"> <!-- default - Mapquest will calculate shortest distance--> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Comments" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="2000" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Reason_Code" minOccurs="1"> <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:enumeration value="FOSTER_HOME"/> <xsd:enumeration value="HEALTH_APPT"/> <xsd:enumeration value="ADMIN_APPT"/> <xsd:enumeration value="OTHER"/> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> <xsd:element name="Invoice_Line_Group_Detail"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="05"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Billable_Unit_ID" minOccurs="1"> <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="50" /> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> <xsd:element name="Invoice_Header_Participant_Details"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="06"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Billable_Unit_ID" minOccurs="1"> <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="50" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Person_ID" type="xsd:double" minOccurs="1" /> <xsd:element name="Case_ID" type="xsd:double" minOccurs="1" /> <!-- MDRC/UOM "xsd:date" to xs:dateTime--> <xsd:element name="Start_Date" type="xsd:dateTime" minOccurs="1" /> <xsd:element name="End_Date" type="xsd:dateTime" minOccurs="1" /> <xsd:element name="Units" minOccurs="1"> <xsd:simpleType> <xsd:restriction base="xsd:decimal"> <xsd:totalDigits value="13" /> <xsd:fractionDigits value="2" /> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> <xsd:element name="File_Attachment"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="07"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Title" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string" > <xsd:maxLength value="100" /> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="Correspondence"/> <xsd:enumeration value="Report"/> <xsd:enumeration value="Court Order"/> <xsd:enumeration value="Appeal"/> <xsd:enumeration value="Adoption Certificate"/> <xsd:enumeration value="Other Legal"/> <xsd:enumeration value="Evidence"/> <xsd:enumeration value="Identity"/> <xsd:enumeration value="Medical Record"/> <xsd:enumeration value="Service Referral"/> <xsd:enumeration value="Progress Report"/> <xsd:enumeration value="Grade Report"/> <xsd:enumeration value="Other School"/> <xsd:enumeration value="Payment Authorization"/> <xsd:enumeration value="Voucher"/> <xsd:enumeration value="Invoice"/> <xsd:enumeration value="Other Financial"/> <xsd:enumeration value="License"/> <xsd:enumeration value="License Change/Revocation"/> <xsd:enumeration value="Inspection"/> <xsd:enumeration value="Explanation of Benefits - Insurance"/> <xsd:enumeration value="Explanation of Benefits - Public Assistance"/> <xsd:enumeration value="Hearing-related Document" /> <xsd:enumeration value="Other/Unclassified"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="content" type="xsd:base64Binary" minOccurs="1"/> </xsd:sequence> </xsd:complexType> </xsd:element> <xsd:element name="Invoice_Line_Travel_Person_Days"> <xsd:complexType> <xsd:sequence> <xsd:element name="Record_Type" minOccurs="1" > <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:enumeration value="08"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Person_ID" type="xsd:double" minOccurs="1" /> <xsd:element name="No_of_Days_At_Home" type="xsd:integer" minOccurs="1" /> <xsd:element name="Comments" minOccurs="0"> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="2000" /> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema>