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