carin_for_blue_button_test_kit 0.15.0 → 0.15.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/lib/carin_for_blue_button_test_kit/capability_statement/tests/instantiates_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/capability_statement/tests/json_support_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/c4bb_client_test_suite.rb +191 -126
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_auth_smart_alca_group.rb +30 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_auth_smart_alcs_group.rb +30 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_auth_smart_alp_group.rb +30 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_auth_udap_group.rb +29 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_options.rb +25 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_registration/configuration_display_smart_test.rb +36 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_registration/configuration_display_udap_test.rb +36 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_registration_group.rb +65 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/client_validation_test.rb +1 -1
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/endpoints/authorization_endpoint.rb +51 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/endpoints/next_page_endpoint.rb +4 -3
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/endpoints/resource_api_endpoint.rb +4 -3
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/endpoints/resource_id_endpoint.rb +4 -3
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/endpoints/token_endpoint.rb +60 -62
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/initial_wait_test.rb +33 -33
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/metadata/mock_capability_statement.json.erb +3 -4
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/mock_server.rb +12 -30
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/required_searches_tests/coverage_required_searches.rb +6 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/required_searches_tests/eob_required_searches.rb +6 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/required_searches_tests/organization_required_searches.rb +6 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/required_searches_tests/patient_required_searches.rb +6 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/required_searches_tests/practitioner_required_searches.rb +6 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/required_searches_tests/relatedperson_required_searches.rb +6 -0
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/tags.rb +2 -5
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/urls.rb +11 -7
- data/lib/carin_for_blue_button_test_kit/custom_groups/v2.0.0/c4bb_smart_launch_group.rb +9 -0
- data/lib/carin_for_blue_button_test_kit/docs/carin_for_blue_button_v2.0.0_client_suite_description.md +136 -30
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/coverage/metadata.yml +12 -4
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/coverage/must_support_test.rb +4 -2
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob/metadata.yml +6 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob/patient_search_test.rb +6 -2
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_inpatient_institutional/metadata.yml +155 -91
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_inpatient_institutional/must_support_test.rb +23 -9
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_inpatient_institutional/patient_search_test.rb +6 -2
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_outpatient_institutional/metadata.yml +155 -91
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_outpatient_institutional/must_support_test.rb +21 -10
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_outpatient_institutional/patient_search_test.rb +6 -2
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_pharmacy/metadata.yml +114 -68
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_pharmacy/must_support_test.rb +22 -7
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_pharmacy/patient_search_test.rb +6 -2
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_professional_non_clinician/metadata.yml +103 -60
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_professional_non_clinician/must_support_test.rb +13 -6
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_professional_non_clinician/patient_search_test.rb +6 -2
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/metadata.yml +568 -314
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/organization/metadata.yml +8 -4
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/patient/metadata.yml +11 -2
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/patient/must_support_test.rb +4 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/practitioner/metadata.yml +4 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage/metadata.yml +12 -4
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage/must_support_test.rb +5 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/metadata.yml +9 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/must_support_test.rb +2 -1
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob/validation_test.rb +2 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/metadata.yml +164 -94
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/must_support_test.rb +25 -10
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_inpatient_institutional/validation_test.rb +3 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/metadata.yml +129 -77
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/must_support_test.rb +24 -10
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_oral/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/metadata.yml +164 -94
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/must_support_test.rb +23 -11
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_outpatient_institutional/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/metadata.yml +128 -78
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/must_support_test.rb +25 -9
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_pharmacy/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/metadata.yml +121 -68
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/must_support_test.rb +14 -7
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/eob_professional_non_clinician/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/metadata.yml +752 -415
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization/metadata.yml +8 -4
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization/must_support_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient/id_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient/metadata.yml +11 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient/must_support_test.rb +5 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner/metadata.yml +4 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner/must_support_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person/metadata.yml +2 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person/must_support_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/coverage/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/coverage/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/coverage/metadata.yml +12 -4
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/coverage/must_support_test.rb +5 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/coverage/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/coverage_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/metadata.yml +9 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/must_support_test.rb +2 -1
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/metadata.yml +164 -94
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/must_support_test.rb +25 -10
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional/service_start_date_search_test.rb +1 -0
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- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/metadata.yml +59 -41
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/must_support_test.rb +22 -8
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_inpatient_institutional_non_financial/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/metadata.yml +129 -77
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/must_support_test.rb +24 -10
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/billable_period_start_search_test.rb +1 -0
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- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/metadata.yml +59 -42
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/must_support_test.rb +22 -9
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_oral_non_financial/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/metadata.yml +164 -94
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/must_support_test.rb +23 -11
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/metadata.yml +58 -40
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/must_support_test.rb +19 -8
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_outpatient_institutional_non_financial/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/metadata.yml +127 -78
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/must_support_test.rb +24 -9
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/metadata.yml +57 -43
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/must_support_test.rb +22 -8
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_pharmacy_non_financial/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/metadata.yml +121 -68
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/must_support_test.rb +14 -7
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/billable_period_start_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/id_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/identifier_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/metadata.yml +51 -33
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/must_support_test.rb +12 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/patient_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/service_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/service_start_date_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/type_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/eob_professional_non_clinician_non_financial/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/metadata.yml +1035 -604
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/organization/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/organization/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/organization/metadata.yml +8 -4
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/organization/must_support_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/organization/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/organization_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/patient/id_search_test.rb +7 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/patient/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/patient/metadata.yml +11 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/patient/must_support_test.rb +5 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/patient/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/patient_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/practitioner/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/practitioner/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/practitioner/metadata.yml +4 -2
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/practitioner/must_support_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/practitioner/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/practitioner_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/related_person/id_search_test.rb +11 -6
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/related_person/lastupdated_search_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/related_person/metadata.yml +2 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/related_person/must_support_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/related_person/validation_test.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0-dev-nonfinancial/related_person_group.rb +1 -0
- data/lib/carin_for_blue_button_test_kit/generator/group_generator.rb +2 -2
- data/lib/carin_for_blue_button_test_kit/generator/group_metadata_extractor.rb +2 -3
- data/lib/carin_for_blue_button_test_kit/generator/must_support_test_generator.rb +2 -2
- data/lib/carin_for_blue_button_test_kit/generator/search_test_generator.rb +1 -1
- data/lib/carin_for_blue_button_test_kit/generator/templates/group.rb.erb +5 -0
- data/lib/carin_for_blue_button_test_kit/generator/templates/must_support.rb.erb +3 -0
- data/lib/carin_for_blue_button_test_kit/generator/templates/search.rb.erb +6 -1
- data/lib/carin_for_blue_button_test_kit/generator/templates/validation.rb.erb +10 -0
- data/lib/carin_for_blue_button_test_kit/generator/validation_test_generator.rb +1 -1
- data/lib/carin_for_blue_button_test_kit/must_support_test.rb +1 -192
- data/lib/carin_for_blue_button_test_kit/requirements/carin-for-blue-button-test-kit_out_of_scope_requirements.csv +15 -0
- data/lib/carin_for_blue_button_test_kit/requirements/carin-for-blue-button-test-kit_requirements.csv +80 -85
- data/lib/carin_for_blue_button_test_kit/requirements/generated/carin-for-blue-button-test-kit_requirements_coverage.csv +183 -240
- data/lib/carin_for_blue_button_test_kit/version.rb +2 -2
- data/lib/requirements_config.yaml +3 -0
- metadata +29 -9
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/endpoints/authorize_endpoint.rb +0 -32
- data/lib/carin_for_blue_button_test_kit/client/v2.0.0/mock_authorization.rb +0 -35
- data/lib/carin_for_blue_button_test_kit/generator/must_support_metadata_extractor.rb +0 -326
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|
@@ -499,7 +507,8 @@
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|
@@ -509,18 +518,22 @@
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:elements:
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- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
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|
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:types:
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|
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|
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|
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|
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|
@@ -544,6 +557,8 @@
|
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|
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:types:
|
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|
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|
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- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
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|
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|
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|
@@ -1273,182 +1288,248 @@
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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:values:
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
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:code: submitted
|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
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:code: copay
|
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|
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|
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|
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:code: deductible
|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
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:code: benefit
|
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|
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:code: coinsurance
|
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
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:code: noncovered
|
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
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|
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|
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|
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|
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:code: paidbypatientcash
|
1414
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
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:code: paidbypatientother
|
1416
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|
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:code: paidtopatient
|
1418
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1419
|
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:code: paidtoprovider
|
1420
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1421
|
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:code: memberliability
|
1422
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1423
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:code: discount
|
1424
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
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|
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:code: drugcost
|
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|
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- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
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|
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|
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|
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|
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|
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|
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|
:code: billingnetworkstatus
|
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|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
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|
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|
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- :slice_id: ExplanationOfBenefit.adjudication:adjustmentreason
|
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|
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:slice_name: adjustmentreason
|
1397
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|
:path: adjudication
|
1398
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|
:discriminator:
|
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|
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|
1400
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|
:path: category
|
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|
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|
1402
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|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
1403
|
-
- :
|
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|
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|
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|
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|
1404
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|
:path: adjudication
|
1405
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|
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|
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|
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|
1407
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|
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|
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|
:values:
|
1409
|
-
-
|
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|
-
|
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|
-
-
|
1412
|
-
|
1413
|
-
-
|
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|
-
|
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|
-
-
|
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|
-
|
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|
-
-
|
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|
-
|
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|
-
-
|
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|
-
|
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|
-
-
|
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|
-
|
1423
|
-
-
|
1424
|
-
|
1425
|
-
|
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|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
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|
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:code: submitted
|
1459
|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1460
|
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:code: copay
|
1461
|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1462
|
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:code: eligible
|
1463
|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1464
|
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:code: deductible
|
1465
|
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- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1466
|
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:code: benefit
|
1467
|
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1468
|
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:code: coinsurance
|
1469
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1470
|
+
:code: noncovered
|
1471
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1472
|
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:code: priorpayerpaid
|
1473
|
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- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1474
|
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:code: paidbypatient
|
1475
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1476
|
+
:code: paidbypatientcash
|
1477
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1478
|
+
:code: paidbypatientother
|
1479
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1480
|
+
:code: paidtopatient
|
1481
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1482
|
+
:code: paidtoprovider
|
1483
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1484
|
+
:code: memberliability
|
1485
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1486
|
+
:code: discount
|
1487
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1488
|
+
:code: drugcost
|
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|
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- :slice_id: ExplanationOfBenefit.total:adjudicationamounttype
|
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|
+
:slice_name: adjudicationamounttype
|
1426
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|
:path: total
|
1427
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|
:discriminator:
|
1428
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|
:type: requiredBinding
|
1429
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|
:path: category
|
1430
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|
:values:
|
1431
|
-
-
|
1432
|
-
|
1433
|
-
-
|
1434
|
-
|
1435
|
-
-
|
1436
|
-
|
1437
|
-
-
|
1438
|
-
|
1439
|
-
-
|
1440
|
-
|
1441
|
-
-
|
1442
|
-
|
1443
|
-
-
|
1444
|
-
|
1445
|
-
-
|
1446
|
-
|
1496
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1497
|
+
:code: submitted
|
1498
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1499
|
+
:code: copay
|
1500
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1501
|
+
:code: eligible
|
1502
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1503
|
+
:code: deductible
|
1504
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
1505
|
+
:code: benefit
|
1506
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1507
|
+
:code: coinsurance
|
1508
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1509
|
+
:code: noncovered
|
1510
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1511
|
+
:code: priorpayerpaid
|
1512
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1513
|
+
:code: paidbypatient
|
1514
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1515
|
+
:code: paidbypatientcash
|
1516
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1517
|
+
:code: paidbypatientother
|
1518
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1519
|
+
:code: paidtopatient
|
1520
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1521
|
+
:code: paidtoprovider
|
1522
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1523
|
+
:code: memberliability
|
1524
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1525
|
+
:code: discount
|
1526
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
1527
|
+
:code: drugcost
|
1447
1528
|
:elements:
|
1448
1529
|
- :path: meta
|
1449
1530
|
- :path: meta.lastUpdated
|
1450
1531
|
- :path: identifier
|
1451
|
-
- :path: identifier.value
|
1532
|
+
- :path: identifier:uniqueclaimid.value
|
1452
1533
|
- :path: status
|
1453
1534
|
- :path: type.coding.code
|
1454
1535
|
:fixed_value: institutional
|
@@ -1458,6 +1539,8 @@
|
|
1458
1539
|
- :path: patient
|
1459
1540
|
:types:
|
1460
1541
|
- Reference
|
1542
|
+
:target_profiles:
|
1543
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
1461
1544
|
- :path: billablePeriod
|
1462
1545
|
- :path: billablePeriod.start
|
1463
1546
|
- :path: billablePeriod.end
|
@@ -1465,9 +1548,13 @@
|
|
1465
1548
|
- :path: insurer
|
1466
1549
|
:types:
|
1467
1550
|
- Reference
|
1551
|
+
:target_profiles:
|
1552
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
1468
1553
|
- :path: provider
|
1469
1554
|
:types:
|
1470
1555
|
- Reference
|
1556
|
+
:target_profiles:
|
1557
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
1471
1558
|
- :path: related
|
1472
1559
|
- :path: related.relationship
|
1473
1560
|
- :path: related.reference
|
@@ -1483,22 +1570,19 @@
|
|
1483
1570
|
- Reference
|
1484
1571
|
- :path: careTeam.role
|
1485
1572
|
- :path: supportingInfo
|
1486
|
-
- :path: supportingInfo.category
|
1487
|
-
|
1488
|
-
- :path: supportingInfo.
|
1489
|
-
|
1490
|
-
- :path: supportingInfo.
|
1491
|
-
- :path: supportingInfo.category
|
1492
|
-
|
1493
|
-
- :path: supportingInfo.category
|
1494
|
-
|
1495
|
-
- :path: supportingInfo.category
|
1496
|
-
|
1497
|
-
- :path: supportingInfo.category
|
1498
|
-
|
1499
|
-
- :path: supportingInfo.category.coding.code
|
1500
|
-
:fixed_value: drg
|
1501
|
-
- :path: supportingInfo.code
|
1573
|
+
- :path: supportingInfo:admissionperiod.category
|
1574
|
+
- :path: supportingInfo:clmrecvddate.category
|
1575
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
1576
|
+
- :path: supportingInfo:typeofbill.category
|
1577
|
+
- :path: supportingInfo:typeofbill.code
|
1578
|
+
- :path: supportingInfo:pointoforigin.category
|
1579
|
+
- :path: supportingInfo:pointoforigin.code
|
1580
|
+
- :path: supportingInfo:admtype.category
|
1581
|
+
- :path: supportingInfo:admtype.code
|
1582
|
+
- :path: supportingInfo:discharge-status.category
|
1583
|
+
- :path: supportingInfo:discharge-status.code
|
1584
|
+
- :path: supportingInfo:drg.category
|
1585
|
+
- :path: supportingInfo:drg.code
|
1502
1586
|
- :path: diagnosis
|
1503
1587
|
- :path: diagnosis.diagnosis[x]
|
1504
1588
|
- :path: diagnosis.type
|
@@ -1512,6 +1596,8 @@
|
|
1512
1596
|
- :path: insurance.coverage
|
1513
1597
|
:types:
|
1514
1598
|
- Reference
|
1599
|
+
:target_profiles:
|
1600
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
1515
1601
|
- :path: item
|
1516
1602
|
- :path: item.sequence
|
1517
1603
|
- :path: item.revenue
|
@@ -1520,20 +1606,21 @@
|
|
1520
1606
|
- :path: item.quantity
|
1521
1607
|
- :path: item.noteNumber
|
1522
1608
|
- :path: item.adjudication
|
1523
|
-
- :path: item.adjudication.category.coding.code
|
1524
|
-
:fixed_value: adjustmentreason
|
1525
|
-
- :path: item.adjudication.reason
|
1526
|
-
- :path: item.adjudication.category.coding.code
|
1527
|
-
:fixed_value: allowedunits
|
1528
|
-
- :path: item.adjudication.value
|
1529
1609
|
- :path: item.adjudication.category
|
1530
|
-
- :path: item.adjudication.
|
1610
|
+
- :path: item.adjudication:adjustmentreason.category
|
1611
|
+
- :path: item.adjudication:adjustmentreason.reason
|
1612
|
+
- :path: item.adjudication:allowedunits.category
|
1613
|
+
- :path: item.adjudication:allowedunits.value
|
1614
|
+
- :path: item.adjudication:adjudicationamounttype.category
|
1615
|
+
- :path: item.adjudication:adjudicationamounttype.amount
|
1531
1616
|
- :path: adjudication
|
1532
1617
|
- :path: adjudication.category
|
1533
|
-
- :path: adjudication.reason
|
1618
|
+
- :path: adjudication:billingnetworkstatus.reason
|
1619
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
1620
|
+
- :path: adjudication:adjustmentreason.reason
|
1534
1621
|
- :path: total
|
1535
1622
|
- :path: total.category
|
1536
|
-
- :path: total.amount
|
1623
|
+
- :path: total:adjudicationamounttype.amount
|
1537
1624
|
- :path: payment
|
1538
1625
|
- :path: payment.type
|
1539
1626
|
- :path: payment.date
|
@@ -2439,105 +2526,120 @@
|
|
2439
2526
|
:must_supports:
|
2440
2527
|
:extensions: []
|
2441
2528
|
:slices:
|
2442
|
-
- :
|
2529
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
2530
|
+
:slice_name: uniqueclaimid
|
2443
2531
|
:path: identifier
|
2444
2532
|
:discriminator:
|
2445
2533
|
:type: patternCodeableConcept
|
2446
2534
|
:path: type
|
2447
2535
|
:code: uc
|
2448
2536
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
2449
|
-
- :
|
2537
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:admissionperiod
|
2538
|
+
:slice_name: admissionperiod
|
2450
2539
|
:path: supportingInfo
|
2451
2540
|
:discriminator:
|
2452
2541
|
:type: patternCodeableConcept
|
2453
2542
|
:path: category
|
2454
2543
|
:code: admissionperiod
|
2455
2544
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2456
|
-
- :
|
2545
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
2546
|
+
:slice_name: clmrecvddate
|
2457
2547
|
:path: supportingInfo
|
2458
2548
|
:discriminator:
|
2459
2549
|
:type: patternCodeableConcept
|
2460
2550
|
:path: category
|
2461
2551
|
:code: clmrecvddate
|
2462
2552
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2463
|
-
- :
|
2553
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:typeofbill
|
2554
|
+
:slice_name: typeofbill
|
2464
2555
|
:path: supportingInfo
|
2465
2556
|
:discriminator:
|
2466
2557
|
:type: patternCodeableConcept
|
2467
2558
|
:path: category
|
2468
2559
|
:code: typeofbill
|
2469
2560
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2470
|
-
- :
|
2561
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:pointoforigin
|
2562
|
+
:slice_name: pointoforigin
|
2471
2563
|
:path: supportingInfo
|
2472
2564
|
:discriminator:
|
2473
2565
|
:type: patternCodeableConcept
|
2474
2566
|
:path: category
|
2475
2567
|
:code: pointoforigin
|
2476
2568
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2477
|
-
- :
|
2569
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:admtype
|
2570
|
+
:slice_name: admtype
|
2478
2571
|
:path: supportingInfo
|
2479
2572
|
:discriminator:
|
2480
2573
|
:type: patternCodeableConcept
|
2481
2574
|
:path: category
|
2482
2575
|
:code: admtype
|
2483
2576
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2484
|
-
- :
|
2577
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:discharge-status
|
2578
|
+
:slice_name: discharge-status
|
2485
2579
|
:path: supportingInfo
|
2486
2580
|
:discriminator:
|
2487
2581
|
:type: patternCodeableConcept
|
2488
2582
|
:path: category
|
2489
2583
|
:code: discharge-status
|
2490
2584
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2491
|
-
- :
|
2585
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:drg
|
2586
|
+
:slice_name: drg
|
2492
2587
|
:path: supportingInfo
|
2493
2588
|
:discriminator:
|
2494
2589
|
:type: patternCodeableConcept
|
2495
2590
|
:path: category
|
2496
2591
|
:code: drg
|
2497
2592
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2498
|
-
- :
|
2593
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
|
2594
|
+
:slice_name: medicalrecordnumber
|
2499
2595
|
:path: supportingInfo
|
2500
2596
|
:discriminator:
|
2501
2597
|
:type: patternCodeableConcept
|
2502
2598
|
:path: category
|
2503
2599
|
:code: medicalrecordnumber
|
2504
2600
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2505
|
-
- :
|
2601
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientaccountnumber
|
2602
|
+
:slice_name: patientaccountnumber
|
2506
2603
|
:path: supportingInfo
|
2507
2604
|
:discriminator:
|
2508
2605
|
:type: patternCodeableConcept
|
2509
2606
|
:path: category
|
2510
2607
|
:code: patientaccountnumber
|
2511
2608
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
2512
|
-
- :
|
2609
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjustmentreason
|
2610
|
+
:slice_name: adjustmentreason
|
2513
2611
|
:path: item.adjudication
|
2514
2612
|
:discriminator:
|
2515
2613
|
:type: patternCodeableConcept
|
2516
2614
|
:path: category
|
2517
2615
|
:code: adjustmentreason
|
2518
2616
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
2519
|
-
- :
|
2617
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:allowedunits
|
2618
|
+
:slice_name: allowedunits
|
2520
2619
|
:path: item.adjudication
|
2521
2620
|
:discriminator:
|
2522
2621
|
:type: patternCodeableConcept
|
2523
2622
|
:path: category
|
2524
2623
|
:code: allowedunits
|
2525
2624
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
2526
|
-
- :
|
2625
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
2626
|
+
:slice_name: billingnetworkstatus
|
2527
2627
|
:path: adjudication
|
2528
2628
|
:discriminator:
|
2529
2629
|
:type: patternCodeableConcept
|
2530
2630
|
:path: category
|
2531
2631
|
:code: billingnetworkstatus
|
2532
2632
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
2533
|
-
- :
|
2633
|
+
- :slice_id: ExplanationOfBenefit.adjudication:benefitpaymentstatus
|
2634
|
+
:slice_name: benefitpaymentstatus
|
2534
2635
|
:path: adjudication
|
2535
2636
|
:discriminator:
|
2536
2637
|
:type: patternCodeableConcept
|
2537
2638
|
:path: category
|
2538
2639
|
:code: benefitpaymentstatus
|
2539
2640
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
2540
|
-
- :
|
2641
|
+
- :slice_id: ExplanationOfBenefit.adjudication:adjustmentreason
|
2642
|
+
:slice_name: adjustmentreason
|
2541
2643
|
:path: adjudication
|
2542
2644
|
:discriminator:
|
2543
2645
|
:type: patternCodeableConcept
|
@@ -2548,7 +2650,7 @@
|
|
2548
2650
|
- :path: meta
|
2549
2651
|
- :path: meta.lastUpdated
|
2550
2652
|
- :path: identifier
|
2551
|
-
- :path: identifier.value
|
2653
|
+
- :path: identifier:uniqueclaimid.value
|
2552
2654
|
- :path: status
|
2553
2655
|
- :path: type.coding.code
|
2554
2656
|
:fixed_value: institutional
|
@@ -2558,6 +2660,8 @@
|
|
2558
2660
|
- :path: patient
|
2559
2661
|
:types:
|
2560
2662
|
- Reference
|
2663
|
+
:target_profiles:
|
2664
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
2561
2665
|
- :path: billablePeriod
|
2562
2666
|
- :path: billablePeriod.start
|
2563
2667
|
- :path: billablePeriod.end
|
@@ -2565,9 +2669,13 @@
|
|
2565
2669
|
- :path: insurer
|
2566
2670
|
:types:
|
2567
2671
|
- Reference
|
2672
|
+
:target_profiles:
|
2673
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
2568
2674
|
- :path: provider
|
2569
2675
|
:types:
|
2570
2676
|
- Reference
|
2677
|
+
:target_profiles:
|
2678
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
2571
2679
|
- :path: related
|
2572
2680
|
- :path: related.relationship
|
2573
2681
|
- :path: related.reference
|
@@ -2583,22 +2691,19 @@
|
|
2583
2691
|
- Reference
|
2584
2692
|
- :path: careTeam.role
|
2585
2693
|
- :path: supportingInfo
|
2586
|
-
- :path: supportingInfo.category
|
2587
|
-
|
2588
|
-
- :path: supportingInfo.
|
2589
|
-
|
2590
|
-
- :path: supportingInfo.
|
2591
|
-
- :path: supportingInfo.category
|
2592
|
-
|
2593
|
-
- :path: supportingInfo.category
|
2594
|
-
|
2595
|
-
- :path: supportingInfo.category
|
2596
|
-
|
2597
|
-
- :path: supportingInfo.category
|
2598
|
-
|
2599
|
-
- :path: supportingInfo.category.coding.code
|
2600
|
-
:fixed_value: drg
|
2601
|
-
- :path: supportingInfo.code
|
2694
|
+
- :path: supportingInfo:admissionperiod.category
|
2695
|
+
- :path: supportingInfo:clmrecvddate.category
|
2696
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
2697
|
+
- :path: supportingInfo:typeofbill.category
|
2698
|
+
- :path: supportingInfo:typeofbill.code
|
2699
|
+
- :path: supportingInfo:pointoforigin.category
|
2700
|
+
- :path: supportingInfo:pointoforigin.code
|
2701
|
+
- :path: supportingInfo:admtype.category
|
2702
|
+
- :path: supportingInfo:admtype.code
|
2703
|
+
- :path: supportingInfo:discharge-status.category
|
2704
|
+
- :path: supportingInfo:discharge-status.code
|
2705
|
+
- :path: supportingInfo:drg.category
|
2706
|
+
- :path: supportingInfo:drg.code
|
2602
2707
|
- :path: diagnosis
|
2603
2708
|
- :path: diagnosis.diagnosis[x]
|
2604
2709
|
- :path: diagnosis.type
|
@@ -2612,6 +2717,8 @@
|
|
2612
2717
|
- :path: insurance.coverage
|
2613
2718
|
:types:
|
2614
2719
|
- Reference
|
2720
|
+
:target_profiles:
|
2721
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
2615
2722
|
- :path: item
|
2616
2723
|
- :path: item.sequence
|
2617
2724
|
- :path: item.revenue
|
@@ -2621,15 +2728,15 @@
|
|
2621
2728
|
- :path: item.noteNumber
|
2622
2729
|
- :path: item.adjudication
|
2623
2730
|
- :path: item.adjudication.category
|
2624
|
-
- :path: item.adjudication.category
|
2625
|
-
|
2626
|
-
- :path: item.adjudication.
|
2627
|
-
- :path: item.adjudication.
|
2628
|
-
:fixed_value: allowedunits
|
2629
|
-
- :path: item.adjudication.value
|
2731
|
+
- :path: item.adjudication:adjustmentreason.category
|
2732
|
+
- :path: item.adjudication:adjustmentreason.reason
|
2733
|
+
- :path: item.adjudication:allowedunits.category
|
2734
|
+
- :path: item.adjudication:allowedunits.value
|
2630
2735
|
- :path: adjudication
|
2631
2736
|
- :path: adjudication.category
|
2632
|
-
- :path: adjudication.reason
|
2737
|
+
- :path: adjudication:billingnetworkstatus.reason
|
2738
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
2739
|
+
- :path: adjudication:adjustmentreason.reason
|
2633
2740
|
- :path: payment
|
2634
2741
|
- :path: payment.type
|
2635
2742
|
- :path: payment.date
|
@@ -3513,173 +3620,238 @@
|
|
3513
3620
|
:must_supports:
|
3514
3621
|
:extensions: []
|
3515
3622
|
:slices:
|
3516
|
-
- :
|
3623
|
+
- :slice_id: ExplanationOfBenefit.item.serviced[x]:servicedDate
|
3624
|
+
:slice_name: servicedDate
|
3625
|
+
:path: item.serviced[x]
|
3626
|
+
:discriminator:
|
3627
|
+
:type: type
|
3628
|
+
:code: Date
|
3629
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
3630
|
+
:slice_name: uniqueclaimid
|
3517
3631
|
:path: identifier
|
3518
3632
|
:discriminator:
|
3519
3633
|
:type: patternCodeableConcept
|
3520
3634
|
:path: type
|
3521
3635
|
:code: uc
|
3522
3636
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
3523
|
-
- :
|
3637
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
3638
|
+
:slice_name: clmrecvddate
|
3524
3639
|
:path: supportingInfo
|
3525
3640
|
:discriminator:
|
3526
3641
|
:type: patternCodeableConcept
|
3527
3642
|
:path: category
|
3528
3643
|
:code: clmrecvddate
|
3529
3644
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
3530
|
-
- :
|
3645
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:typeofbill
|
3646
|
+
:slice_name: typeofbill
|
3531
3647
|
:path: supportingInfo
|
3532
3648
|
:discriminator:
|
3533
3649
|
:type: patternCodeableConcept
|
3534
3650
|
:path: category
|
3535
3651
|
:code: typeofbill
|
3536
3652
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
3537
|
-
- :
|
3653
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:pointoforigin
|
3654
|
+
:slice_name: pointoforigin
|
3538
3655
|
:path: supportingInfo
|
3539
3656
|
:discriminator:
|
3540
3657
|
:type: patternCodeableConcept
|
3541
3658
|
:path: category
|
3542
3659
|
:code: pointoforigin
|
3543
3660
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
3544
|
-
- :
|
3661
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:admtype
|
3662
|
+
:slice_name: admtype
|
3545
3663
|
:path: supportingInfo
|
3546
3664
|
:discriminator:
|
3547
3665
|
:type: patternCodeableConcept
|
3548
3666
|
:path: category
|
3549
3667
|
:code: admtype
|
3550
3668
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
3551
|
-
- :
|
3669
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:discharge-status
|
3670
|
+
:slice_name: discharge-status
|
3552
3671
|
:path: supportingInfo
|
3553
3672
|
:discriminator:
|
3554
3673
|
:type: patternCodeableConcept
|
3555
3674
|
:path: category
|
3556
3675
|
:code: discharge-status
|
3557
3676
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
3558
|
-
- :
|
3677
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
|
3678
|
+
:slice_name: medicalrecordnumber
|
3559
3679
|
:path: supportingInfo
|
3560
3680
|
:discriminator:
|
3561
3681
|
:type: patternCodeableConcept
|
3562
3682
|
:path: category
|
3563
3683
|
:code: medicalrecordnumber
|
3564
3684
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
3565
|
-
- :
|
3685
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientaccountnumber
|
3686
|
+
:slice_name: patientaccountnumber
|
3566
3687
|
:path: supportingInfo
|
3567
3688
|
:discriminator:
|
3568
3689
|
:type: patternCodeableConcept
|
3569
3690
|
:path: category
|
3570
3691
|
:code: patientaccountnumber
|
3571
3692
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
3572
|
-
- :
|
3693
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjustmentreason
|
3694
|
+
:slice_name: adjustmentreason
|
3573
3695
|
:path: item.adjudication
|
3574
3696
|
:discriminator:
|
3575
3697
|
:type: patternCodeableConcept
|
3576
3698
|
:path: category
|
3577
3699
|
:code: adjustmentreason
|
3578
3700
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
3579
|
-
- :
|
3701
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:allowedunits
|
3702
|
+
:slice_name: allowedunits
|
3580
3703
|
:path: item.adjudication
|
3581
3704
|
:discriminator:
|
3582
3705
|
:type: patternCodeableConcept
|
3583
3706
|
:path: category
|
3584
3707
|
:code: allowedunits
|
3585
3708
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
3586
|
-
- :
|
3709
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
|
3710
|
+
:slice_name: adjudicationamounttype
|
3587
3711
|
:path: item.adjudication
|
3588
3712
|
:discriminator:
|
3589
3713
|
:type: requiredBinding
|
3590
3714
|
:path: category
|
3591
3715
|
:values:
|
3592
|
-
-
|
3593
|
-
|
3594
|
-
-
|
3595
|
-
|
3596
|
-
-
|
3597
|
-
|
3598
|
-
-
|
3599
|
-
|
3600
|
-
-
|
3601
|
-
|
3602
|
-
-
|
3603
|
-
|
3604
|
-
-
|
3605
|
-
|
3606
|
-
-
|
3607
|
-
|
3608
|
-
|
3716
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3717
|
+
:code: submitted
|
3718
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3719
|
+
:code: copay
|
3720
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3721
|
+
:code: eligible
|
3722
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3723
|
+
:code: deductible
|
3724
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3725
|
+
:code: benefit
|
3726
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3727
|
+
:code: coinsurance
|
3728
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3729
|
+
:code: noncovered
|
3730
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3731
|
+
:code: priorpayerpaid
|
3732
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3733
|
+
:code: paidbypatient
|
3734
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3735
|
+
:code: paidbypatientcash
|
3736
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3737
|
+
:code: paidbypatientother
|
3738
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3739
|
+
:code: paidtopatient
|
3740
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3741
|
+
:code: paidtoprovider
|
3742
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3743
|
+
:code: memberliability
|
3744
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3745
|
+
:code: discount
|
3746
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3747
|
+
:code: drugcost
|
3748
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
3749
|
+
:slice_name: billingnetworkstatus
|
3609
3750
|
:path: adjudication
|
3610
3751
|
:discriminator:
|
3611
3752
|
:type: patternCodeableConcept
|
3612
3753
|
:path: category
|
3613
3754
|
:code: billingnetworkstatus
|
3614
3755
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
3615
|
-
- :
|
3756
|
+
- :slice_id: ExplanationOfBenefit.adjudication:benefitpaymentstatus
|
3757
|
+
:slice_name: benefitpaymentstatus
|
3616
3758
|
:path: adjudication
|
3617
3759
|
:discriminator:
|
3618
3760
|
:type: patternCodeableConcept
|
3619
3761
|
:path: category
|
3620
3762
|
:code: benefitpaymentstatus
|
3621
3763
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
3622
|
-
- :
|
3764
|
+
- :slice_id: ExplanationOfBenefit.adjudication:adjustmentreason
|
3765
|
+
:slice_name: adjustmentreason
|
3623
3766
|
:path: adjudication
|
3624
3767
|
:discriminator:
|
3625
3768
|
:type: patternCodeableConcept
|
3626
3769
|
:path: category
|
3627
3770
|
:code: adjustmentreason
|
3628
3771
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
3629
|
-
- :
|
3772
|
+
- :slice_id: ExplanationOfBenefit.adjudication:adjudicationamounttype
|
3773
|
+
:slice_name: adjudicationamounttype
|
3630
3774
|
:path: adjudication
|
3631
3775
|
:discriminator:
|
3632
3776
|
:type: requiredBinding
|
3633
3777
|
:path: category
|
3634
3778
|
:values:
|
3635
|
-
-
|
3636
|
-
|
3637
|
-
-
|
3638
|
-
|
3639
|
-
-
|
3640
|
-
|
3641
|
-
-
|
3642
|
-
|
3643
|
-
-
|
3644
|
-
|
3645
|
-
-
|
3646
|
-
|
3647
|
-
-
|
3648
|
-
|
3649
|
-
-
|
3650
|
-
|
3651
|
-
|
3779
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3780
|
+
:code: submitted
|
3781
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3782
|
+
:code: copay
|
3783
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3784
|
+
:code: eligible
|
3785
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3786
|
+
:code: deductible
|
3787
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3788
|
+
:code: benefit
|
3789
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3790
|
+
:code: coinsurance
|
3791
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3792
|
+
:code: noncovered
|
3793
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3794
|
+
:code: priorpayerpaid
|
3795
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3796
|
+
:code: paidbypatient
|
3797
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3798
|
+
:code: paidbypatientcash
|
3799
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3800
|
+
:code: paidbypatientother
|
3801
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3802
|
+
:code: paidtopatient
|
3803
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3804
|
+
:code: paidtoprovider
|
3805
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3806
|
+
:code: memberliability
|
3807
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3808
|
+
:code: discount
|
3809
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3810
|
+
:code: drugcost
|
3811
|
+
- :slice_id: ExplanationOfBenefit.total:adjudicationamounttype
|
3812
|
+
:slice_name: adjudicationamounttype
|
3652
3813
|
:path: total
|
3653
3814
|
:discriminator:
|
3654
3815
|
:type: requiredBinding
|
3655
3816
|
:path: category
|
3656
3817
|
:values:
|
3657
|
-
-
|
3658
|
-
|
3659
|
-
-
|
3660
|
-
|
3661
|
-
-
|
3662
|
-
|
3663
|
-
-
|
3664
|
-
|
3665
|
-
-
|
3666
|
-
|
3667
|
-
-
|
3668
|
-
|
3669
|
-
-
|
3670
|
-
|
3671
|
-
-
|
3672
|
-
|
3673
|
-
|
3674
|
-
|
3675
|
-
|
3676
|
-
|
3677
|
-
:
|
3818
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3819
|
+
:code: submitted
|
3820
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3821
|
+
:code: copay
|
3822
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3823
|
+
:code: eligible
|
3824
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3825
|
+
:code: deductible
|
3826
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
3827
|
+
:code: benefit
|
3828
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3829
|
+
:code: coinsurance
|
3830
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3831
|
+
:code: noncovered
|
3832
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3833
|
+
:code: priorpayerpaid
|
3834
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3835
|
+
:code: paidbypatient
|
3836
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3837
|
+
:code: paidbypatientcash
|
3838
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3839
|
+
:code: paidbypatientother
|
3840
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3841
|
+
:code: paidtopatient
|
3842
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3843
|
+
:code: paidtoprovider
|
3844
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3845
|
+
:code: memberliability
|
3846
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3847
|
+
:code: discount
|
3848
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
3849
|
+
:code: drugcost
|
3678
3850
|
:elements:
|
3679
3851
|
- :path: meta
|
3680
3852
|
- :path: meta.lastUpdated
|
3681
3853
|
- :path: identifier
|
3682
|
-
- :path: identifier.value
|
3854
|
+
- :path: identifier:uniqueclaimid.value
|
3683
3855
|
- :path: status
|
3684
3856
|
- :path: type.coding.code
|
3685
3857
|
:fixed_value: institutional
|
@@ -3689,15 +3861,21 @@
|
|
3689
3861
|
- :path: patient
|
3690
3862
|
:types:
|
3691
3863
|
- Reference
|
3864
|
+
:target_profiles:
|
3865
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
3692
3866
|
- :path: billablePeriod
|
3693
3867
|
- :path: billablePeriod.start
|
3694
3868
|
- :path: created
|
3695
3869
|
- :path: insurer
|
3696
3870
|
:types:
|
3697
3871
|
- Reference
|
3872
|
+
:target_profiles:
|
3873
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
3698
3874
|
- :path: provider
|
3699
3875
|
:types:
|
3700
3876
|
- Reference
|
3877
|
+
:target_profiles:
|
3878
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
3701
3879
|
- :path: related
|
3702
3880
|
- :path: related.relationship
|
3703
3881
|
- :path: related.reference
|
@@ -3713,18 +3891,16 @@
|
|
3713
3891
|
- Reference
|
3714
3892
|
- :path: careTeam.role
|
3715
3893
|
- :path: supportingInfo
|
3716
|
-
- :path: supportingInfo.category
|
3717
|
-
|
3718
|
-
- :path: supportingInfo.
|
3719
|
-
- :path: supportingInfo.
|
3720
|
-
|
3721
|
-
- :path: supportingInfo.
|
3722
|
-
|
3723
|
-
- :path: supportingInfo.
|
3724
|
-
|
3725
|
-
- :path: supportingInfo.
|
3726
|
-
:fixed_value: discharge-status
|
3727
|
-
- :path: supportingInfo.code
|
3894
|
+
- :path: supportingInfo:clmrecvddate.category
|
3895
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
3896
|
+
- :path: supportingInfo:typeofbill.category
|
3897
|
+
- :path: supportingInfo:typeofbill.code
|
3898
|
+
- :path: supportingInfo:pointoforigin.category
|
3899
|
+
- :path: supportingInfo:pointoforigin.code
|
3900
|
+
- :path: supportingInfo:admtype.category
|
3901
|
+
- :path: supportingInfo:admtype.code
|
3902
|
+
- :path: supportingInfo:discharge-status.category
|
3903
|
+
- :path: supportingInfo:discharge-status.code
|
3728
3904
|
- :path: diagnosis.diagnosis[x]
|
3729
3905
|
- :path: diagnosis.type
|
3730
3906
|
- :path: insurance
|
@@ -3732,6 +3908,8 @@
|
|
3732
3908
|
- :path: insurance.coverage
|
3733
3909
|
:types:
|
3734
3910
|
- Reference
|
3911
|
+
:target_profiles:
|
3912
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
3735
3913
|
- :path: item
|
3736
3914
|
- :path: item.sequence
|
3737
3915
|
- :path: item.revenue
|
@@ -3740,21 +3918,22 @@
|
|
3740
3918
|
- :path: item.quantity
|
3741
3919
|
- :path: item.noteNumber
|
3742
3920
|
- :path: item.adjudication
|
3743
|
-
- :path: item.adjudication.category.coding.code
|
3744
|
-
:fixed_value: adjustmentreason
|
3745
|
-
- :path: item.adjudication.reason
|
3746
|
-
- :path: item.adjudication.category.coding.code
|
3747
|
-
:fixed_value: allowedunits
|
3748
|
-
- :path: item.adjudication.value
|
3749
3921
|
- :path: item.adjudication.category
|
3750
|
-
- :path: item.adjudication.
|
3922
|
+
- :path: item.adjudication:adjustmentreason.category
|
3923
|
+
- :path: item.adjudication:adjustmentreason.reason
|
3924
|
+
- :path: item.adjudication:allowedunits.category
|
3925
|
+
- :path: item.adjudication:allowedunits.value
|
3926
|
+
- :path: item.adjudication:adjudicationamounttype.category
|
3927
|
+
- :path: item.adjudication:adjudicationamounttype.amount
|
3751
3928
|
- :path: adjudication
|
3752
3929
|
- :path: adjudication.category
|
3753
|
-
- :path: adjudication.reason
|
3754
|
-
- :path: adjudication.
|
3930
|
+
- :path: adjudication:billingnetworkstatus.reason
|
3931
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
3932
|
+
- :path: adjudication:adjustmentreason.reason
|
3933
|
+
- :path: adjudication:adjudicationamounttype.amount
|
3755
3934
|
- :path: total
|
3756
3935
|
- :path: total.category
|
3757
|
-
- :path: total.amount
|
3936
|
+
- :path: total:adjudicationamounttype.amount
|
3758
3937
|
- :path: payment
|
3759
3938
|
- :path: payment.type
|
3760
3939
|
- :path: payment.date
|
@@ -4632,107 +4811,121 @@
|
|
4632
4811
|
:must_supports:
|
4633
4812
|
:extensions: []
|
4634
4813
|
:slices:
|
4635
|
-
- :
|
4814
|
+
- :slice_id: ExplanationOfBenefit.item.serviced[x]:servicedDate
|
4815
|
+
:slice_name: servicedDate
|
4816
|
+
:path: item.serviced[x]
|
4817
|
+
:discriminator:
|
4818
|
+
:type: type
|
4819
|
+
:code: Date
|
4820
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
4821
|
+
:slice_name: uniqueclaimid
|
4636
4822
|
:path: identifier
|
4637
4823
|
:discriminator:
|
4638
4824
|
:type: patternCodeableConcept
|
4639
4825
|
:path: type
|
4640
4826
|
:code: uc
|
4641
4827
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
4642
|
-
- :
|
4828
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
4829
|
+
:slice_name: clmrecvddate
|
4643
4830
|
:path: supportingInfo
|
4644
4831
|
:discriminator:
|
4645
4832
|
:type: patternCodeableConcept
|
4646
4833
|
:path: category
|
4647
4834
|
:code: clmrecvddate
|
4648
4835
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
4649
|
-
- :
|
4836
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:typeofbill
|
4837
|
+
:slice_name: typeofbill
|
4650
4838
|
:path: supportingInfo
|
4651
4839
|
:discriminator:
|
4652
4840
|
:type: patternCodeableConcept
|
4653
4841
|
:path: category
|
4654
4842
|
:code: typeofbill
|
4655
4843
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
4656
|
-
- :
|
4844
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:pointoforigin
|
4845
|
+
:slice_name: pointoforigin
|
4657
4846
|
:path: supportingInfo
|
4658
4847
|
:discriminator:
|
4659
4848
|
:type: patternCodeableConcept
|
4660
4849
|
:path: category
|
4661
4850
|
:code: pointoforigin
|
4662
4851
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
4663
|
-
- :
|
4852
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:admtype
|
4853
|
+
:slice_name: admtype
|
4664
4854
|
:path: supportingInfo
|
4665
4855
|
:discriminator:
|
4666
4856
|
:type: patternCodeableConcept
|
4667
4857
|
:path: category
|
4668
4858
|
:code: admtype
|
4669
4859
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
4670
|
-
- :
|
4860
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:discharge-status
|
4861
|
+
:slice_name: discharge-status
|
4671
4862
|
:path: supportingInfo
|
4672
4863
|
:discriminator:
|
4673
4864
|
:type: patternCodeableConcept
|
4674
4865
|
:path: category
|
4675
4866
|
:code: discharge-status
|
4676
4867
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
4677
|
-
- :
|
4868
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
|
4869
|
+
:slice_name: medicalrecordnumber
|
4678
4870
|
:path: supportingInfo
|
4679
4871
|
:discriminator:
|
4680
4872
|
:type: patternCodeableConcept
|
4681
4873
|
:path: category
|
4682
4874
|
:code: medicalrecordnumber
|
4683
4875
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
4684
|
-
- :
|
4876
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientaccountnumber
|
4877
|
+
:slice_name: patientaccountnumber
|
4685
4878
|
:path: supportingInfo
|
4686
4879
|
:discriminator:
|
4687
4880
|
:type: patternCodeableConcept
|
4688
4881
|
:path: category
|
4689
4882
|
:code: patientaccountnumber
|
4690
4883
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
4691
|
-
- :
|
4884
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjustmentreason
|
4885
|
+
:slice_name: adjustmentreason
|
4692
4886
|
:path: item.adjudication
|
4693
4887
|
:discriminator:
|
4694
4888
|
:type: patternCodeableConcept
|
4695
4889
|
:path: category
|
4696
4890
|
:code: adjustmentreason
|
4697
4891
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
4698
|
-
- :
|
4892
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:allowedunits
|
4893
|
+
:slice_name: allowedunits
|
4699
4894
|
:path: item.adjudication
|
4700
4895
|
:discriminator:
|
4701
4896
|
:type: patternCodeableConcept
|
4702
4897
|
:path: category
|
4703
4898
|
:code: allowedunits
|
4704
4899
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
4705
|
-
- :
|
4900
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
4901
|
+
:slice_name: billingnetworkstatus
|
4706
4902
|
:path: adjudication
|
4707
4903
|
:discriminator:
|
4708
4904
|
:type: patternCodeableConcept
|
4709
4905
|
:path: category
|
4710
4906
|
:code: billingnetworkstatus
|
4711
4907
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
4712
|
-
- :
|
4908
|
+
- :slice_id: ExplanationOfBenefit.adjudication:benefitpaymentstatus
|
4909
|
+
:slice_name: benefitpaymentstatus
|
4713
4910
|
:path: adjudication
|
4714
4911
|
:discriminator:
|
4715
4912
|
:type: patternCodeableConcept
|
4716
4913
|
:path: category
|
4717
4914
|
:code: benefitpaymentstatus
|
4718
4915
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
4719
|
-
- :
|
4916
|
+
- :slice_id: ExplanationOfBenefit.adjudication:adjustmentreason
|
4917
|
+
:slice_name: adjustmentreason
|
4720
4918
|
:path: adjudication
|
4721
4919
|
:discriminator:
|
4722
4920
|
:type: patternCodeableConcept
|
4723
4921
|
:path: category
|
4724
4922
|
:code: adjustmentreason
|
4725
4923
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
4726
|
-
- :name: ExplanationOfBenefit.item.serviced[x]:servicedDate
|
4727
|
-
:path: item.serviced[x]
|
4728
|
-
:discriminator:
|
4729
|
-
:type: type
|
4730
|
-
:code: Date
|
4731
4924
|
:elements:
|
4732
4925
|
- :path: meta
|
4733
4926
|
- :path: meta.lastUpdated
|
4734
4927
|
- :path: identifier
|
4735
|
-
- :path: identifier.value
|
4928
|
+
- :path: identifier:uniqueclaimid.value
|
4736
4929
|
- :path: status
|
4737
4930
|
- :path: type.coding.code
|
4738
4931
|
:fixed_value: institutional
|
@@ -4742,15 +4935,21 @@
|
|
4742
4935
|
- :path: patient
|
4743
4936
|
:types:
|
4744
4937
|
- Reference
|
4938
|
+
:target_profiles:
|
4939
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
4745
4940
|
- :path: billablePeriod
|
4746
4941
|
- :path: billablePeriod.start
|
4747
4942
|
- :path: created
|
4748
4943
|
- :path: insurer
|
4749
4944
|
:types:
|
4750
4945
|
- Reference
|
4946
|
+
:target_profiles:
|
4947
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
4751
4948
|
- :path: provider
|
4752
4949
|
:types:
|
4753
4950
|
- Reference
|
4951
|
+
:target_profiles:
|
4952
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
4754
4953
|
- :path: related
|
4755
4954
|
- :path: related.relationship
|
4756
4955
|
- :path: related.reference
|
@@ -4766,18 +4965,16 @@
|
|
4766
4965
|
- Reference
|
4767
4966
|
- :path: careTeam.role
|
4768
4967
|
- :path: supportingInfo
|
4769
|
-
- :path: supportingInfo.category
|
4770
|
-
|
4771
|
-
- :path: supportingInfo.
|
4772
|
-
- :path: supportingInfo.
|
4773
|
-
|
4774
|
-
- :path: supportingInfo.
|
4775
|
-
|
4776
|
-
- :path: supportingInfo.
|
4777
|
-
|
4778
|
-
- :path: supportingInfo.
|
4779
|
-
:fixed_value: discharge-status
|
4780
|
-
- :path: supportingInfo.code
|
4968
|
+
- :path: supportingInfo:clmrecvddate.category
|
4969
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
4970
|
+
- :path: supportingInfo:typeofbill.category
|
4971
|
+
- :path: supportingInfo:typeofbill.code
|
4972
|
+
- :path: supportingInfo:pointoforigin.category
|
4973
|
+
- :path: supportingInfo:pointoforigin.code
|
4974
|
+
- :path: supportingInfo:admtype.category
|
4975
|
+
- :path: supportingInfo:admtype.code
|
4976
|
+
- :path: supportingInfo:discharge-status.category
|
4977
|
+
- :path: supportingInfo:discharge-status.code
|
4781
4978
|
- :path: diagnosis.diagnosis[x]
|
4782
4979
|
- :path: diagnosis.type
|
4783
4980
|
- :path: insurance
|
@@ -4785,6 +4982,8 @@
|
|
4785
4982
|
- :path: insurance.coverage
|
4786
4983
|
:types:
|
4787
4984
|
- Reference
|
4985
|
+
:target_profiles:
|
4986
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
4788
4987
|
- :path: item
|
4789
4988
|
- :path: item.sequence
|
4790
4989
|
- :path: item.revenue
|
@@ -4794,15 +4993,15 @@
|
|
4794
4993
|
- :path: item.noteNumber
|
4795
4994
|
- :path: item.adjudication
|
4796
4995
|
- :path: item.adjudication.category
|
4797
|
-
- :path: item.adjudication.category
|
4798
|
-
|
4799
|
-
- :path: item.adjudication.
|
4800
|
-
- :path: item.adjudication.
|
4801
|
-
:fixed_value: allowedunits
|
4802
|
-
- :path: item.adjudication.value
|
4996
|
+
- :path: item.adjudication:adjustmentreason.category
|
4997
|
+
- :path: item.adjudication:adjustmentreason.reason
|
4998
|
+
- :path: item.adjudication:allowedunits.category
|
4999
|
+
- :path: item.adjudication:allowedunits.value
|
4803
5000
|
- :path: adjudication
|
4804
5001
|
- :path: adjudication.category
|
4805
|
-
- :path: adjudication.reason
|
5002
|
+
- :path: adjudication:billingnetworkstatus.reason
|
5003
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
5004
|
+
- :path: adjudication:adjustmentreason.reason
|
4806
5005
|
- :path: payment
|
4807
5006
|
- :path: payment.type
|
4808
5007
|
- :path: payment.date
|
@@ -5659,159 +5858,208 @@
|
|
5659
5858
|
:must_supports:
|
5660
5859
|
:extensions: []
|
5661
5860
|
:slices:
|
5662
|
-
- :
|
5861
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
5862
|
+
:slice_name: uniqueclaimid
|
5663
5863
|
:path: identifier
|
5664
5864
|
:discriminator:
|
5665
5865
|
:type: patternCodeableConcept
|
5666
5866
|
:path: type
|
5667
5867
|
:code: uc
|
5668
5868
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
5669
|
-
- :
|
5869
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
5870
|
+
:slice_name: clmrecvddate
|
5670
5871
|
:path: supportingInfo
|
5671
5872
|
:discriminator:
|
5672
5873
|
:type: patternCodeableConcept
|
5673
5874
|
:path: category
|
5674
5875
|
:code: clmrecvddate
|
5675
5876
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5676
|
-
- :
|
5877
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:servicefacility
|
5878
|
+
:slice_name: servicefacility
|
5677
5879
|
:path: supportingInfo
|
5678
5880
|
:discriminator:
|
5679
5881
|
:type: patternCodeableConcept
|
5680
5882
|
:path: category
|
5681
5883
|
:code: servicefacility
|
5682
5884
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5683
|
-
- :
|
5885
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:orthodontics
|
5886
|
+
:slice_name: orthodontics
|
5684
5887
|
:path: supportingInfo
|
5685
5888
|
:discriminator:
|
5686
5889
|
:type: patternCodeableConcept
|
5687
5890
|
:path: category
|
5688
5891
|
:code: orthodontics
|
5689
5892
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5690
|
-
- :
|
5893
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:prosthesis
|
5894
|
+
:slice_name: prosthesis
|
5691
5895
|
:path: supportingInfo
|
5692
5896
|
:discriminator:
|
5693
5897
|
:type: patternCodeableConcept
|
5694
5898
|
:path: category
|
5695
5899
|
:code: prosthesis
|
5696
5900
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5697
|
-
- :
|
5901
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:additionalbodysite
|
5902
|
+
:slice_name: additionalbodysite
|
5698
5903
|
:path: supportingInfo
|
5699
5904
|
:discriminator:
|
5700
5905
|
:type: patternCodeableConcept
|
5701
5906
|
:path: category
|
5702
5907
|
:code: additionalbodysite
|
5703
5908
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5704
|
-
- :
|
5909
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:missingtoothnumber
|
5910
|
+
:slice_name: missingtoothnumber
|
5705
5911
|
:path: supportingInfo
|
5706
5912
|
:discriminator:
|
5707
5913
|
:type: patternCodeableConcept
|
5708
5914
|
:path: category
|
5709
5915
|
:code: missingtoothnumber
|
5710
5916
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5711
|
-
- :
|
5917
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
|
5918
|
+
:slice_name: medicalrecordnumber
|
5712
5919
|
:path: supportingInfo
|
5713
5920
|
:discriminator:
|
5714
5921
|
:type: patternCodeableConcept
|
5715
5922
|
:path: category
|
5716
5923
|
:code: medicalrecordnumber
|
5717
5924
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5718
|
-
- :
|
5925
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientaccountnumber
|
5926
|
+
:slice_name: patientaccountnumber
|
5719
5927
|
:path: supportingInfo
|
5720
5928
|
:discriminator:
|
5721
5929
|
:type: patternCodeableConcept
|
5722
5930
|
:path: category
|
5723
5931
|
:code: patientaccountnumber
|
5724
5932
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
5725
|
-
- :
|
5933
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjustmentreason
|
5934
|
+
:slice_name: adjustmentreason
|
5726
5935
|
:path: item.adjudication
|
5727
5936
|
:discriminator:
|
5728
5937
|
:type: patternCodeableConcept
|
5729
5938
|
:path: category
|
5730
5939
|
:code: adjustmentreason
|
5731
5940
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
5732
|
-
- :
|
5941
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:benefitpaymentstatus
|
5942
|
+
:slice_name: benefitpaymentstatus
|
5733
5943
|
:path: item.adjudication
|
5734
5944
|
:discriminator:
|
5735
5945
|
:type: patternCodeableConcept
|
5736
5946
|
:path: category
|
5737
5947
|
:code: benefitpaymentstatus
|
5738
5948
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
5739
|
-
- :
|
5949
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:allowedunits
|
5950
|
+
:slice_name: allowedunits
|
5740
5951
|
:path: item.adjudication
|
5741
5952
|
:discriminator:
|
5742
5953
|
:type: patternCodeableConcept
|
5743
5954
|
:path: category
|
5744
5955
|
:code: allowedunits
|
5745
5956
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
5746
|
-
- :
|
5957
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
|
5958
|
+
:slice_name: adjudicationamounttype
|
5747
5959
|
:path: item.adjudication
|
5748
5960
|
:discriminator:
|
5749
5961
|
:type: requiredBinding
|
5750
5962
|
:path: category
|
5751
5963
|
:values:
|
5752
|
-
-
|
5753
|
-
|
5754
|
-
-
|
5755
|
-
|
5756
|
-
-
|
5757
|
-
|
5758
|
-
-
|
5759
|
-
|
5760
|
-
-
|
5761
|
-
|
5762
|
-
-
|
5763
|
-
|
5764
|
-
-
|
5765
|
-
|
5766
|
-
-
|
5767
|
-
|
5768
|
-
|
5964
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
5965
|
+
:code: submitted
|
5966
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
5967
|
+
:code: copay
|
5968
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
5969
|
+
:code: eligible
|
5970
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
5971
|
+
:code: deductible
|
5972
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
5973
|
+
:code: benefit
|
5974
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5975
|
+
:code: coinsurance
|
5976
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5977
|
+
:code: noncovered
|
5978
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5979
|
+
:code: priorpayerpaid
|
5980
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5981
|
+
:code: paidbypatient
|
5982
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5983
|
+
:code: paidbypatientcash
|
5984
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5985
|
+
:code: paidbypatientother
|
5986
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5987
|
+
:code: paidtopatient
|
5988
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5989
|
+
:code: paidtoprovider
|
5990
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5991
|
+
:code: memberliability
|
5992
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5993
|
+
:code: discount
|
5994
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
5995
|
+
:code: drugcost
|
5996
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
5997
|
+
:slice_name: billingnetworkstatus
|
5769
5998
|
:path: adjudication
|
5770
5999
|
:discriminator:
|
5771
6000
|
:type: patternCodeableConcept
|
5772
6001
|
:path: category
|
5773
6002
|
:code: billingnetworkstatus
|
5774
6003
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
5775
|
-
- :
|
6004
|
+
- :slice_id: ExplanationOfBenefit.adjudication:renderingnetworkstatus
|
6005
|
+
:slice_name: renderingnetworkstatus
|
5776
6006
|
:path: adjudication
|
5777
6007
|
:discriminator:
|
5778
6008
|
:type: patternCodeableConcept
|
5779
6009
|
:path: category
|
5780
6010
|
:code: renderingnetworkstatus
|
5781
6011
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
5782
|
-
- :
|
6012
|
+
- :slice_id: ExplanationOfBenefit.adjudication:benefitpaymentstatus
|
6013
|
+
:slice_name: benefitpaymentstatus
|
5783
6014
|
:path: adjudication
|
5784
6015
|
:discriminator:
|
5785
6016
|
:type: patternCodeableConcept
|
5786
6017
|
:path: category
|
5787
6018
|
:code: benefitpaymentstatus
|
5788
6019
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
5789
|
-
- :
|
6020
|
+
- :slice_id: ExplanationOfBenefit.total:adjudicationamounttype
|
6021
|
+
:slice_name: adjudicationamounttype
|
5790
6022
|
:path: total
|
5791
6023
|
:discriminator:
|
5792
6024
|
:type: requiredBinding
|
5793
6025
|
:path: category
|
5794
6026
|
:values:
|
5795
|
-
-
|
5796
|
-
|
5797
|
-
-
|
5798
|
-
|
5799
|
-
-
|
5800
|
-
|
5801
|
-
-
|
5802
|
-
|
5803
|
-
-
|
5804
|
-
|
5805
|
-
-
|
5806
|
-
|
5807
|
-
-
|
5808
|
-
|
5809
|
-
-
|
5810
|
-
|
6027
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
6028
|
+
:code: submitted
|
6029
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
6030
|
+
:code: copay
|
6031
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
6032
|
+
:code: eligible
|
6033
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
6034
|
+
:code: deductible
|
6035
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
6036
|
+
:code: benefit
|
6037
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6038
|
+
:code: coinsurance
|
6039
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6040
|
+
:code: noncovered
|
6041
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6042
|
+
:code: priorpayerpaid
|
6043
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6044
|
+
:code: paidbypatient
|
6045
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6046
|
+
:code: paidbypatientcash
|
6047
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6048
|
+
:code: paidbypatientother
|
6049
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6050
|
+
:code: paidtopatient
|
6051
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6052
|
+
:code: paidtoprovider
|
6053
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6054
|
+
:code: memberliability
|
6055
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6056
|
+
:code: discount
|
6057
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
6058
|
+
:code: drugcost
|
5811
6059
|
:elements:
|
5812
6060
|
- :path: meta
|
5813
6061
|
- :path: meta.lastUpdated
|
5814
|
-
- :path: identifier.value
|
6062
|
+
- :path: identifier:uniqueclaimid.value
|
5815
6063
|
- :path: status
|
5816
6064
|
- :path: type.coding.code
|
5817
6065
|
:fixed_value: oral
|
@@ -5819,14 +6067,20 @@
|
|
5819
6067
|
- :path: patient
|
5820
6068
|
:types:
|
5821
6069
|
- Reference
|
6070
|
+
:target_profiles:
|
6071
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
5822
6072
|
- :path: billablePeriod
|
5823
6073
|
- :path: billablePeriod.start
|
5824
6074
|
- :path: insurer
|
5825
6075
|
:types:
|
5826
6076
|
- Reference
|
6077
|
+
:target_profiles:
|
6078
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
5827
6079
|
- :path: provider
|
5828
6080
|
:types:
|
5829
6081
|
- Reference
|
6082
|
+
:target_profiles:
|
6083
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
|
5830
6084
|
- :path: related
|
5831
6085
|
- :path: related.relationship
|
5832
6086
|
- :path: related.reference
|
@@ -5843,22 +6097,18 @@
|
|
5843
6097
|
- :path: careTeam.role
|
5844
6098
|
- :path: careTeam.qualification
|
5845
6099
|
- :path: supportingInfo
|
5846
|
-
- :path: supportingInfo.category
|
5847
|
-
|
5848
|
-
- :path: supportingInfo.
|
5849
|
-
- :path: supportingInfo.category
|
5850
|
-
|
5851
|
-
- :path: supportingInfo.category
|
5852
|
-
|
5853
|
-
- :path: supportingInfo.
|
5854
|
-
|
5855
|
-
- :path: supportingInfo.
|
5856
|
-
- :path: supportingInfo.
|
5857
|
-
- :path: supportingInfo.
|
5858
|
-
:fixed_value: additionalbodysite
|
5859
|
-
- :path: supportingInfo.category.coding.code
|
5860
|
-
:fixed_value: missingtoothnumber
|
5861
|
-
- :path: supportingInfo.code
|
6100
|
+
- :path: supportingInfo:clmrecvddate.category
|
6101
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
6102
|
+
- :path: supportingInfo:servicefacility.category
|
6103
|
+
- :path: supportingInfo:orthodontics.category
|
6104
|
+
- :path: supportingInfo:orthodontics.value[x]
|
6105
|
+
- :path: supportingInfo:prosthesis.category
|
6106
|
+
- :path: supportingInfo:prosthesis.value[x]
|
6107
|
+
- :path: supportingInfo:additionalbodysite.sequence
|
6108
|
+
- :path: supportingInfo:additionalbodysite.category
|
6109
|
+
- :path: supportingInfo:additionalbodysite.code
|
6110
|
+
- :path: supportingInfo:missingtoothnumber.category
|
6111
|
+
- :path: supportingInfo:missingtoothnumber.code
|
5862
6112
|
- :path: diagnosis
|
5863
6113
|
- :path: diagnosis.diagnosis[x]
|
5864
6114
|
- :path: diagnosis.type
|
@@ -5867,6 +6117,8 @@
|
|
5867
6117
|
- :path: insurance.coverage
|
5868
6118
|
:types:
|
5869
6119
|
- Reference
|
6120
|
+
:target_profiles:
|
6121
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
5870
6122
|
- :path: item
|
5871
6123
|
- :path: item.sequence
|
5872
6124
|
- :path: item.informationSequence
|
@@ -5877,18 +6129,19 @@
|
|
5877
6129
|
- :path: item.bodySite
|
5878
6130
|
- :path: item.noteNumber
|
5879
6131
|
- :path: item.adjudication
|
5880
|
-
- :path: item.adjudication.category.coding.code
|
5881
|
-
:fixed_value: adjustmentreason
|
5882
|
-
- :path: item.adjudication.category.coding.code
|
5883
|
-
:fixed_value: benefitpaymentstatus
|
5884
|
-
- :path: item.adjudication.reason
|
5885
|
-
- :path: item.adjudication.category.coding.code
|
5886
|
-
:fixed_value: allowedunits
|
5887
6132
|
- :path: item.adjudication.category
|
5888
|
-
- :path: item.adjudication.
|
6133
|
+
- :path: item.adjudication:adjustmentreason.category
|
6134
|
+
- :path: item.adjudication:adjustmentreason.reason
|
6135
|
+
- :path: item.adjudication:benefitpaymentstatus.category
|
6136
|
+
- :path: item.adjudication:benefitpaymentstatus.reason
|
6137
|
+
- :path: item.adjudication:allowedunits.category
|
6138
|
+
- :path: item.adjudication:adjudicationamounttype.category
|
6139
|
+
- :path: item.adjudication:adjudicationamounttype.amount
|
5889
6140
|
- :path: adjudication
|
5890
6141
|
- :path: adjudication.category
|
5891
|
-
- :path: adjudication.reason
|
6142
|
+
- :path: adjudication:billingnetworkstatus.reason
|
6143
|
+
- :path: adjudication:renderingnetworkstatus.reason
|
6144
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
5892
6145
|
- :path: total
|
5893
6146
|
- :path: total.category
|
5894
6147
|
- :path: payment
|
@@ -6800,105 +7053,120 @@
|
|
6800
7053
|
:must_supports:
|
6801
7054
|
:extensions: []
|
6802
7055
|
:slices:
|
6803
|
-
- :
|
7056
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
7057
|
+
:slice_name: uniqueclaimid
|
6804
7058
|
:path: identifier
|
6805
7059
|
:discriminator:
|
6806
7060
|
:type: patternCodeableConcept
|
6807
7061
|
:path: type
|
6808
7062
|
:code: uc
|
6809
7063
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
6810
|
-
- :
|
7064
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
7065
|
+
:slice_name: clmrecvddate
|
6811
7066
|
:path: supportingInfo
|
6812
7067
|
:discriminator:
|
6813
7068
|
:type: patternCodeableConcept
|
6814
7069
|
:path: category
|
6815
7070
|
:code: clmrecvddate
|
6816
7071
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6817
|
-
- :
|
7072
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:servicefacility
|
7073
|
+
:slice_name: servicefacility
|
6818
7074
|
:path: supportingInfo
|
6819
7075
|
:discriminator:
|
6820
7076
|
:type: patternCodeableConcept
|
6821
7077
|
:path: category
|
6822
7078
|
:code: servicefacility
|
6823
7079
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6824
|
-
- :
|
7080
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:orthodontics
|
7081
|
+
:slice_name: orthodontics
|
6825
7082
|
:path: supportingInfo
|
6826
7083
|
:discriminator:
|
6827
7084
|
:type: patternCodeableConcept
|
6828
7085
|
:path: category
|
6829
7086
|
:code: orthodontics
|
6830
7087
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6831
|
-
- :
|
7088
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:prosthesis
|
7089
|
+
:slice_name: prosthesis
|
6832
7090
|
:path: supportingInfo
|
6833
7091
|
:discriminator:
|
6834
7092
|
:type: patternCodeableConcept
|
6835
7093
|
:path: category
|
6836
7094
|
:code: prosthesis
|
6837
7095
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6838
|
-
- :
|
7096
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:additionalbodysite
|
7097
|
+
:slice_name: additionalbodysite
|
6839
7098
|
:path: supportingInfo
|
6840
7099
|
:discriminator:
|
6841
7100
|
:type: patternCodeableConcept
|
6842
7101
|
:path: category
|
6843
7102
|
:code: additionalbodysite
|
6844
7103
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6845
|
-
- :
|
7104
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:missingtoothnumber
|
7105
|
+
:slice_name: missingtoothnumber
|
6846
7106
|
:path: supportingInfo
|
6847
7107
|
:discriminator:
|
6848
7108
|
:type: patternCodeableConcept
|
6849
7109
|
:path: category
|
6850
7110
|
:code: missingtoothnumber
|
6851
7111
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6852
|
-
- :
|
7112
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
|
7113
|
+
:slice_name: medicalrecordnumber
|
6853
7114
|
:path: supportingInfo
|
6854
7115
|
:discriminator:
|
6855
7116
|
:type: patternCodeableConcept
|
6856
7117
|
:path: category
|
6857
7118
|
:code: medicalrecordnumber
|
6858
7119
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6859
|
-
- :
|
7120
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientaccountnumber
|
7121
|
+
:slice_name: patientaccountnumber
|
6860
7122
|
:path: supportingInfo
|
6861
7123
|
:discriminator:
|
6862
7124
|
:type: patternCodeableConcept
|
6863
7125
|
:path: category
|
6864
7126
|
:code: patientaccountnumber
|
6865
7127
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
6866
|
-
- :
|
7128
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjustmentreason
|
7129
|
+
:slice_name: adjustmentreason
|
6867
7130
|
:path: item.adjudication
|
6868
7131
|
:discriminator:
|
6869
7132
|
:type: patternCodeableConcept
|
6870
7133
|
:path: category
|
6871
7134
|
:code: adjustmentreason
|
6872
7135
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
6873
|
-
- :
|
7136
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:benefitpaymentstatus
|
7137
|
+
:slice_name: benefitpaymentstatus
|
6874
7138
|
:path: item.adjudication
|
6875
7139
|
:discriminator:
|
6876
7140
|
:type: patternCodeableConcept
|
6877
7141
|
:path: category
|
6878
7142
|
:code: benefitpaymentstatus
|
6879
7143
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
6880
|
-
- :
|
7144
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:allowedunits
|
7145
|
+
:slice_name: allowedunits
|
6881
7146
|
:path: item.adjudication
|
6882
7147
|
:discriminator:
|
6883
7148
|
:type: patternCodeableConcept
|
6884
7149
|
:path: category
|
6885
7150
|
:code: allowedunits
|
6886
7151
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
6887
|
-
- :
|
7152
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
7153
|
+
:slice_name: billingnetworkstatus
|
6888
7154
|
:path: adjudication
|
6889
7155
|
:discriminator:
|
6890
7156
|
:type: patternCodeableConcept
|
6891
7157
|
:path: category
|
6892
7158
|
:code: billingnetworkstatus
|
6893
7159
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
6894
|
-
- :
|
7160
|
+
- :slice_id: ExplanationOfBenefit.adjudication:renderingnetworkstatus
|
7161
|
+
:slice_name: renderingnetworkstatus
|
6895
7162
|
:path: adjudication
|
6896
7163
|
:discriminator:
|
6897
7164
|
:type: patternCodeableConcept
|
6898
7165
|
:path: category
|
6899
7166
|
:code: renderingnetworkstatus
|
6900
7167
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
6901
|
-
- :
|
7168
|
+
- :slice_id: ExplanationOfBenefit.adjudication:benefitpaymentstatus
|
7169
|
+
:slice_name: benefitpaymentstatus
|
6902
7170
|
:path: adjudication
|
6903
7171
|
:discriminator:
|
6904
7172
|
:type: patternCodeableConcept
|
@@ -6908,7 +7176,7 @@
|
|
6908
7176
|
:elements:
|
6909
7177
|
- :path: meta
|
6910
7178
|
- :path: meta.lastUpdated
|
6911
|
-
- :path: identifier.value
|
7179
|
+
- :path: identifier:uniqueclaimid.value
|
6912
7180
|
- :path: status
|
6913
7181
|
- :path: type.coding.code
|
6914
7182
|
:fixed_value: oral
|
@@ -6916,14 +7184,20 @@
|
|
6916
7184
|
- :path: patient
|
6917
7185
|
:types:
|
6918
7186
|
- Reference
|
7187
|
+
:target_profiles:
|
7188
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
6919
7189
|
- :path: billablePeriod
|
6920
7190
|
- :path: billablePeriod.start
|
6921
7191
|
- :path: insurer
|
6922
7192
|
:types:
|
6923
7193
|
- Reference
|
7194
|
+
:target_profiles:
|
7195
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
6924
7196
|
- :path: provider
|
6925
7197
|
:types:
|
6926
7198
|
- Reference
|
7199
|
+
:target_profiles:
|
7200
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
|
6927
7201
|
- :path: related
|
6928
7202
|
- :path: related.relationship
|
6929
7203
|
- :path: related.reference
|
@@ -6940,22 +7214,18 @@
|
|
6940
7214
|
- :path: careTeam.role
|
6941
7215
|
- :path: careTeam.qualification
|
6942
7216
|
- :path: supportingInfo
|
6943
|
-
- :path: supportingInfo.category
|
6944
|
-
|
6945
|
-
- :path: supportingInfo.
|
6946
|
-
- :path: supportingInfo.category
|
6947
|
-
|
6948
|
-
- :path: supportingInfo.category
|
6949
|
-
|
6950
|
-
- :path: supportingInfo.
|
6951
|
-
|
6952
|
-
- :path: supportingInfo.
|
6953
|
-
- :path: supportingInfo.
|
6954
|
-
- :path: supportingInfo.
|
6955
|
-
:fixed_value: additionalbodysite
|
6956
|
-
- :path: supportingInfo.category.coding.code
|
6957
|
-
:fixed_value: missingtoothnumber
|
6958
|
-
- :path: supportingInfo.code
|
7217
|
+
- :path: supportingInfo:clmrecvddate.category
|
7218
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
7219
|
+
- :path: supportingInfo:servicefacility.category
|
7220
|
+
- :path: supportingInfo:orthodontics.category
|
7221
|
+
- :path: supportingInfo:orthodontics.value[x]
|
7222
|
+
- :path: supportingInfo:prosthesis.category
|
7223
|
+
- :path: supportingInfo:prosthesis.value[x]
|
7224
|
+
- :path: supportingInfo:additionalbodysite.sequence
|
7225
|
+
- :path: supportingInfo:additionalbodysite.category
|
7226
|
+
- :path: supportingInfo:additionalbodysite.code
|
7227
|
+
- :path: supportingInfo:missingtoothnumber.category
|
7228
|
+
- :path: supportingInfo:missingtoothnumber.code
|
6959
7229
|
- :path: diagnosis
|
6960
7230
|
- :path: diagnosis.diagnosis[x]
|
6961
7231
|
- :path: diagnosis.type
|
@@ -6964,6 +7234,8 @@
|
|
6964
7234
|
- :path: insurance.coverage
|
6965
7235
|
:types:
|
6966
7236
|
- Reference
|
7237
|
+
:target_profiles:
|
7238
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
6967
7239
|
- :path: item
|
6968
7240
|
- :path: item.sequence
|
6969
7241
|
- :path: item.informationSequence
|
@@ -6975,16 +7247,16 @@
|
|
6975
7247
|
- :path: item.noteNumber
|
6976
7248
|
- :path: item.adjudication
|
6977
7249
|
- :path: item.adjudication.category
|
6978
|
-
- :path: item.adjudication.category
|
6979
|
-
|
6980
|
-
- :path: item.adjudication.category
|
6981
|
-
|
6982
|
-
- :path: item.adjudication.
|
6983
|
-
- :path: item.adjudication.category.coding.code
|
6984
|
-
:fixed_value: allowedunits
|
7250
|
+
- :path: item.adjudication:adjustmentreason.category
|
7251
|
+
- :path: item.adjudication:adjustmentreason.reason
|
7252
|
+
- :path: item.adjudication:benefitpaymentstatus.category
|
7253
|
+
- :path: item.adjudication:benefitpaymentstatus.reason
|
7254
|
+
- :path: item.adjudication:allowedunits.category
|
6985
7255
|
- :path: adjudication
|
6986
7256
|
- :path: adjudication.category
|
6987
|
-
- :path: adjudication.reason
|
7257
|
+
- :path: adjudication:billingnetworkstatus.reason
|
7258
|
+
- :path: adjudication:renderingnetworkstatus.reason
|
7259
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
6988
7260
|
- :path: payment
|
6989
7261
|
- :path: payment.type
|
6990
7262
|
- :path: processNote
|
@@ -7876,144 +8148,191 @@
|
|
7876
8148
|
:must_supports:
|
7877
8149
|
:extensions: []
|
7878
8150
|
:slices:
|
7879
|
-
- :
|
8151
|
+
- :slice_id: ExplanationOfBenefit.item.serviced[x]:servicedDate
|
8152
|
+
:slice_name: servicedDate
|
8153
|
+
:path: item.serviced[x]
|
8154
|
+
:discriminator:
|
8155
|
+
:type: type
|
8156
|
+
:code: Date
|
8157
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
8158
|
+
:slice_name: uniqueclaimid
|
7880
8159
|
:path: identifier
|
7881
8160
|
:discriminator:
|
7882
8161
|
:type: patternCodeableConcept
|
7883
8162
|
:path: type
|
7884
8163
|
:code: uc
|
7885
8164
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
7886
|
-
- :
|
8165
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:dayssupply
|
8166
|
+
:slice_name: dayssupply
|
7887
8167
|
:path: supportingInfo
|
7888
8168
|
:discriminator:
|
7889
8169
|
:type: patternCodeableConcept
|
7890
8170
|
:path: category
|
7891
8171
|
:code: dayssupply
|
7892
8172
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7893
|
-
- :
|
8173
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:dawcode
|
8174
|
+
:slice_name: dawcode
|
7894
8175
|
:path: supportingInfo
|
7895
8176
|
:discriminator:
|
7896
8177
|
:type: patternCodeableConcept
|
7897
8178
|
:path: category
|
7898
8179
|
:code: dawcode
|
7899
8180
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7900
|
-
- :
|
8181
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:refillNum
|
8182
|
+
:slice_name: refillNum
|
7901
8183
|
:path: supportingInfo
|
7902
8184
|
:discriminator:
|
7903
8185
|
:type: patternCodeableConcept
|
7904
8186
|
:path: category
|
7905
8187
|
:code: refillnum
|
7906
8188
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7907
|
-
- :
|
8189
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:refillsAuthorized
|
8190
|
+
:slice_name: refillsAuthorized
|
7908
8191
|
:path: supportingInfo
|
7909
8192
|
:discriminator:
|
7910
8193
|
:type: patternCodeableConcept
|
7911
8194
|
:path: category
|
7912
8195
|
:code: refillsauthorized
|
7913
8196
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7914
|
-
- :
|
8197
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:brandgenericindicator
|
8198
|
+
:slice_name: brandgenericindicator
|
7915
8199
|
:path: supportingInfo
|
7916
8200
|
:discriminator:
|
7917
8201
|
:type: patternCodeableConcept
|
7918
8202
|
:path: category
|
7919
8203
|
:code: brandgenericindicator
|
7920
8204
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7921
|
-
- :
|
8205
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:rxoriginCode
|
8206
|
+
:slice_name: rxoriginCode
|
7922
8207
|
:path: supportingInfo
|
7923
8208
|
:discriminator:
|
7924
8209
|
:type: patternCodeableConcept
|
7925
8210
|
:path: category
|
7926
8211
|
:code: rxorigincode
|
7927
8212
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7928
|
-
- :
|
8213
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
8214
|
+
:slice_name: clmrecvddate
|
7929
8215
|
:path: supportingInfo
|
7930
8216
|
:discriminator:
|
7931
8217
|
:type: patternCodeableConcept
|
7932
8218
|
:path: category
|
7933
8219
|
:code: clmrecvddate
|
7934
8220
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7935
|
-
- :
|
8221
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:compoundcode
|
8222
|
+
:slice_name: compoundcode
|
7936
8223
|
:path: supportingInfo
|
7937
8224
|
:discriminator:
|
7938
8225
|
:type: patternCodeableConcept
|
7939
8226
|
:path: category
|
7940
8227
|
:code: compoundcode
|
7941
8228
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
7942
|
-
- :
|
8229
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:rejectreason
|
8230
|
+
:slice_name: rejectreason
|
7943
8231
|
:path: item.adjudication
|
7944
8232
|
:discriminator:
|
7945
8233
|
:type: patternCodeableConcept
|
7946
8234
|
:path: category
|
7947
8235
|
:code: rejectreason
|
7948
8236
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
7949
|
-
- :
|
8237
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
|
8238
|
+
:slice_name: adjudicationamounttype
|
7950
8239
|
:path: item.adjudication
|
7951
8240
|
:discriminator:
|
7952
8241
|
:type: requiredBinding
|
7953
8242
|
:path: category
|
7954
8243
|
:values:
|
7955
|
-
-
|
7956
|
-
|
7957
|
-
-
|
7958
|
-
|
7959
|
-
-
|
7960
|
-
|
7961
|
-
-
|
7962
|
-
|
7963
|
-
-
|
7964
|
-
|
7965
|
-
-
|
7966
|
-
|
7967
|
-
-
|
7968
|
-
|
7969
|
-
-
|
7970
|
-
|
7971
|
-
|
8244
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8245
|
+
:code: submitted
|
8246
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8247
|
+
:code: copay
|
8248
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8249
|
+
:code: eligible
|
8250
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8251
|
+
:code: deductible
|
8252
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8253
|
+
:code: benefit
|
8254
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8255
|
+
:code: coinsurance
|
8256
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8257
|
+
:code: noncovered
|
8258
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8259
|
+
:code: priorpayerpaid
|
8260
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8261
|
+
:code: paidbypatient
|
8262
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8263
|
+
:code: paidbypatientcash
|
8264
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8265
|
+
:code: paidbypatientother
|
8266
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8267
|
+
:code: paidtopatient
|
8268
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8269
|
+
:code: paidtoprovider
|
8270
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8271
|
+
:code: memberliability
|
8272
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8273
|
+
:code: discount
|
8274
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8275
|
+
:code: drugcost
|
8276
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
8277
|
+
:slice_name: billingnetworkstatus
|
7972
8278
|
:path: adjudication
|
7973
8279
|
:discriminator:
|
7974
8280
|
:type: patternCodeableConcept
|
7975
8281
|
:path: category
|
7976
8282
|
:code: billingnetworkstatus
|
7977
8283
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
7978
|
-
- :
|
8284
|
+
- :slice_id: ExplanationOfBenefit.adjudication:benefitpaymentstatus
|
8285
|
+
:slice_name: benefitpaymentstatus
|
7979
8286
|
:path: adjudication
|
7980
8287
|
:discriminator:
|
7981
8288
|
:type: patternCodeableConcept
|
7982
8289
|
:path: category
|
7983
8290
|
:code: benefitpaymentstatus
|
7984
8291
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
7985
|
-
- :
|
8292
|
+
- :slice_id: ExplanationOfBenefit.total:adjudicationamounttype
|
8293
|
+
:slice_name: adjudicationamounttype
|
7986
8294
|
:path: total
|
7987
8295
|
:discriminator:
|
7988
8296
|
:type: requiredBinding
|
7989
8297
|
:path: category
|
7990
8298
|
:values:
|
7991
|
-
-
|
7992
|
-
|
7993
|
-
-
|
7994
|
-
|
7995
|
-
-
|
7996
|
-
|
7997
|
-
-
|
7998
|
-
|
7999
|
-
-
|
8000
|
-
|
8001
|
-
-
|
8002
|
-
|
8003
|
-
-
|
8004
|
-
|
8005
|
-
-
|
8006
|
-
|
8007
|
-
|
8008
|
-
|
8009
|
-
|
8010
|
-
|
8011
|
-
:
|
8299
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8300
|
+
:code: submitted
|
8301
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8302
|
+
:code: copay
|
8303
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8304
|
+
:code: eligible
|
8305
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8306
|
+
:code: deductible
|
8307
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
8308
|
+
:code: benefit
|
8309
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8310
|
+
:code: coinsurance
|
8311
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8312
|
+
:code: noncovered
|
8313
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8314
|
+
:code: priorpayerpaid
|
8315
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8316
|
+
:code: paidbypatient
|
8317
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8318
|
+
:code: paidbypatientcash
|
8319
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8320
|
+
:code: paidbypatientother
|
8321
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8322
|
+
:code: paidtopatient
|
8323
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8324
|
+
:code: paidtoprovider
|
8325
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8326
|
+
:code: memberliability
|
8327
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8328
|
+
:code: discount
|
8329
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
8330
|
+
:code: drugcost
|
8012
8331
|
:elements:
|
8013
8332
|
- :path: meta
|
8014
8333
|
- :path: meta.lastUpdated
|
8015
8334
|
- :path: identifier
|
8016
|
-
- :path: identifier.value
|
8335
|
+
- :path: identifier:uniqueclaimid.value
|
8017
8336
|
- :path: status
|
8018
8337
|
- :path: type.coding.code
|
8019
8338
|
:fixed_value: pharmacy
|
@@ -8021,12 +8340,16 @@
|
|
8021
8340
|
- :path: patient
|
8022
8341
|
:types:
|
8023
8342
|
- Reference
|
8343
|
+
:target_profiles:
|
8344
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
8024
8345
|
- :path: billablePeriod
|
8025
8346
|
- :path: billablePeriod.start
|
8026
8347
|
- :path: created
|
8027
8348
|
- :path: insurer
|
8028
8349
|
:types:
|
8029
8350
|
- Reference
|
8351
|
+
:target_profiles:
|
8352
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
8030
8353
|
- :path: provider
|
8031
8354
|
:types:
|
8032
8355
|
- Reference
|
@@ -8045,47 +8368,47 @@
|
|
8045
8368
|
- Reference
|
8046
8369
|
- :path: careTeam.role
|
8047
8370
|
- :path: supportingInfo
|
8048
|
-
- :path: supportingInfo.category
|
8049
|
-
|
8050
|
-
- :path: supportingInfo.category
|
8051
|
-
|
8052
|
-
- :path: supportingInfo.category
|
8053
|
-
|
8054
|
-
- :path: supportingInfo.category
|
8055
|
-
|
8056
|
-
- :path: supportingInfo.
|
8057
|
-
- :path: supportingInfo.
|
8058
|
-
|
8059
|
-
- :path: supportingInfo.
|
8060
|
-
|
8061
|
-
- :path: supportingInfo.
|
8062
|
-
|
8063
|
-
- :path: supportingInfo.
|
8064
|
-
- :path: supportingInfo.category.coding.code
|
8065
|
-
:fixed_value: compoundcode
|
8066
|
-
- :path: supportingInfo.code
|
8371
|
+
- :path: supportingInfo:dayssupply.category
|
8372
|
+
- :path: supportingInfo:dayssupply.value[x]
|
8373
|
+
- :path: supportingInfo:dawcode.category
|
8374
|
+
- :path: supportingInfo:dawcode.code
|
8375
|
+
- :path: supportingInfo:refillNum.category
|
8376
|
+
- :path: supportingInfo:refillNum.value[x]
|
8377
|
+
- :path: supportingInfo:refillsAuthorized.category
|
8378
|
+
- :path: supportingInfo:refillsAuthorized.value[x]
|
8379
|
+
- :path: supportingInfo:brandgenericindicator.category
|
8380
|
+
- :path: supportingInfo:brandgenericindicator.code
|
8381
|
+
- :path: supportingInfo:rxoriginCode.category
|
8382
|
+
- :path: supportingInfo:rxoriginCode.code
|
8383
|
+
- :path: supportingInfo:clmrecvddate.category
|
8384
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
8385
|
+
- :path: supportingInfo:compoundcode.category
|
8386
|
+
- :path: supportingInfo:compoundcode.code
|
8067
8387
|
- :path: insurance
|
8068
8388
|
- :path: insurance.focal
|
8069
8389
|
- :path: insurance.coverage
|
8070
8390
|
:types:
|
8071
8391
|
- Reference
|
8392
|
+
:target_profiles:
|
8393
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
8072
8394
|
- :path: item
|
8073
8395
|
- :path: item.sequence
|
8074
8396
|
- :path: item.productOrService
|
8075
8397
|
- :path: item.quantity
|
8076
8398
|
- :path: item.noteNumber
|
8077
8399
|
- :path: item.adjudication
|
8078
|
-
- :path: item.adjudication.category.coding.code
|
8079
|
-
:fixed_value: rejectreason
|
8080
|
-
- :path: item.adjudication.reason
|
8081
8400
|
- :path: item.adjudication.category
|
8082
|
-
- :path: item.adjudication.
|
8401
|
+
- :path: item.adjudication:rejectreason.category
|
8402
|
+
- :path: item.adjudication:rejectreason.reason
|
8403
|
+
- :path: item.adjudication:adjudicationamounttype.category
|
8404
|
+
- :path: item.adjudication:adjudicationamounttype.amount
|
8083
8405
|
- :path: item.detail
|
8084
8406
|
- :path: item.detail.productOrService
|
8085
8407
|
- :path: item.detail.quantity
|
8086
8408
|
- :path: adjudication
|
8087
8409
|
- :path: adjudication.category
|
8088
|
-
- :path: adjudication.reason
|
8410
|
+
- :path: adjudication:billingnetworkstatus.reason
|
8411
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
8089
8412
|
- :path: total
|
8090
8413
|
- :path: total.category
|
8091
8414
|
- :path: total.amount
|
@@ -8947,100 +9270,113 @@
|
|
8947
9270
|
:must_supports:
|
8948
9271
|
:extensions: []
|
8949
9272
|
:slices:
|
8950
|
-
- :
|
9273
|
+
- :slice_id: ExplanationOfBenefit.item.serviced[x]:servicedDate
|
9274
|
+
:slice_name: servicedDate
|
9275
|
+
:path: item.serviced[x]
|
9276
|
+
:discriminator:
|
9277
|
+
:type: type
|
9278
|
+
:code: Date
|
9279
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
9280
|
+
:slice_name: uniqueclaimid
|
8951
9281
|
:path: identifier
|
8952
9282
|
:discriminator:
|
8953
9283
|
:type: patternCodeableConcept
|
8954
9284
|
:path: type
|
8955
9285
|
:code: uc
|
8956
9286
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
8957
|
-
- :
|
9287
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:dayssupply
|
9288
|
+
:slice_name: dayssupply
|
8958
9289
|
:path: supportingInfo
|
8959
9290
|
:discriminator:
|
8960
9291
|
:type: patternCodeableConcept
|
8961
9292
|
:path: category
|
8962
9293
|
:code: dayssupply
|
8963
9294
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
8964
|
-
- :
|
9295
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:dawcode
|
9296
|
+
:slice_name: dawcode
|
8965
9297
|
:path: supportingInfo
|
8966
9298
|
:discriminator:
|
8967
9299
|
:type: patternCodeableConcept
|
8968
9300
|
:path: category
|
8969
9301
|
:code: dawcode
|
8970
9302
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
8971
|
-
- :
|
9303
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:refillNum
|
9304
|
+
:slice_name: refillNum
|
8972
9305
|
:path: supportingInfo
|
8973
9306
|
:discriminator:
|
8974
9307
|
:type: patternCodeableConcept
|
8975
9308
|
:path: category
|
8976
9309
|
:code: refillnum
|
8977
9310
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
8978
|
-
- :
|
9311
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:refillsAuthorized
|
9312
|
+
:slice_name: refillsAuthorized
|
8979
9313
|
:path: supportingInfo
|
8980
9314
|
:discriminator:
|
8981
9315
|
:type: patternCodeableConcept
|
8982
9316
|
:path: category
|
8983
9317
|
:code: refillsauthorized
|
8984
9318
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
8985
|
-
- :
|
9319
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:brandgenericindicator
|
9320
|
+
:slice_name: brandgenericindicator
|
8986
9321
|
:path: supportingInfo
|
8987
9322
|
:discriminator:
|
8988
9323
|
:type: patternCodeableConcept
|
8989
9324
|
:path: category
|
8990
9325
|
:code: brandgenericindicator
|
8991
9326
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
8992
|
-
- :
|
9327
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:rxoriginCode
|
9328
|
+
:slice_name: rxoriginCode
|
8993
9329
|
:path: supportingInfo
|
8994
9330
|
:discriminator:
|
8995
9331
|
:type: patternCodeableConcept
|
8996
9332
|
:path: category
|
8997
9333
|
:code: rxorigincode
|
8998
9334
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
8999
|
-
- :
|
9335
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
9336
|
+
:slice_name: clmrecvddate
|
9000
9337
|
:path: supportingInfo
|
9001
9338
|
:discriminator:
|
9002
9339
|
:type: patternCodeableConcept
|
9003
9340
|
:path: category
|
9004
9341
|
:code: clmrecvddate
|
9005
9342
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
9006
|
-
- :
|
9343
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:compoundcode
|
9344
|
+
:slice_name: compoundcode
|
9007
9345
|
:path: supportingInfo
|
9008
9346
|
:discriminator:
|
9009
9347
|
:type: patternCodeableConcept
|
9010
9348
|
:path: category
|
9011
9349
|
:code: compoundcode
|
9012
9350
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
9013
|
-
- :
|
9351
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:rejectreason
|
9352
|
+
:slice_name: rejectreason
|
9014
9353
|
:path: item.adjudication
|
9015
9354
|
:discriminator:
|
9016
9355
|
:type: patternCodeableConcept
|
9017
9356
|
:path: category
|
9018
9357
|
:code: rejectreason
|
9019
9358
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
9020
|
-
- :
|
9359
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
9360
|
+
:slice_name: billingnetworkstatus
|
9021
9361
|
:path: adjudication
|
9022
9362
|
:discriminator:
|
9023
9363
|
:type: patternCodeableConcept
|
9024
9364
|
:path: category
|
9025
9365
|
:code: billingnetworkstatus
|
9026
9366
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
9027
|
-
- :
|
9367
|
+
- :slice_id: ExplanationOfBenefit.adjudication:benefitpaymentstatus
|
9368
|
+
:slice_name: benefitpaymentstatus
|
9028
9369
|
:path: adjudication
|
9029
9370
|
:discriminator:
|
9030
9371
|
:type: patternCodeableConcept
|
9031
9372
|
:path: category
|
9032
9373
|
:code: benefitpaymentstatus
|
9033
9374
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
9034
|
-
- :name: ExplanationOfBenefit.item.serviced[x]:servicedDate
|
9035
|
-
:path: item.serviced[x]
|
9036
|
-
:discriminator:
|
9037
|
-
:type: type
|
9038
|
-
:code: Date
|
9039
9375
|
:elements:
|
9040
9376
|
- :path: meta
|
9041
9377
|
- :path: meta.lastUpdated
|
9042
9378
|
- :path: identifier
|
9043
|
-
- :path: identifier.value
|
9379
|
+
- :path: identifier:uniqueclaimid.value
|
9044
9380
|
- :path: status
|
9045
9381
|
- :path: type.coding.code
|
9046
9382
|
:fixed_value: pharmacy
|
@@ -9048,12 +9384,16 @@
|
|
9048
9384
|
- :path: patient
|
9049
9385
|
:types:
|
9050
9386
|
- Reference
|
9387
|
+
:target_profiles:
|
9388
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
9051
9389
|
- :path: billablePeriod
|
9052
9390
|
- :path: billablePeriod.start
|
9053
9391
|
- :path: created
|
9054
9392
|
- :path: insurer
|
9055
9393
|
:types:
|
9056
9394
|
- Reference
|
9395
|
+
:target_profiles:
|
9396
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
9057
9397
|
- :path: provider
|
9058
9398
|
:types:
|
9059
9399
|
- Reference
|
@@ -9072,30 +9412,29 @@
|
|
9072
9412
|
- Reference
|
9073
9413
|
- :path: careTeam.role
|
9074
9414
|
- :path: supportingInfo
|
9075
|
-
- :path: supportingInfo.category
|
9076
|
-
|
9077
|
-
- :path: supportingInfo.category
|
9078
|
-
|
9079
|
-
- :path: supportingInfo.category
|
9080
|
-
|
9081
|
-
- :path: supportingInfo.category
|
9082
|
-
|
9083
|
-
- :path: supportingInfo.
|
9084
|
-
- :path: supportingInfo.
|
9085
|
-
|
9086
|
-
- :path: supportingInfo.
|
9087
|
-
|
9088
|
-
- :path: supportingInfo.
|
9089
|
-
|
9090
|
-
- :path: supportingInfo.
|
9091
|
-
- :path: supportingInfo.category.coding.code
|
9092
|
-
:fixed_value: compoundcode
|
9093
|
-
- :path: supportingInfo.code
|
9415
|
+
- :path: supportingInfo:dayssupply.category
|
9416
|
+
- :path: supportingInfo:dayssupply.value[x]
|
9417
|
+
- :path: supportingInfo:dawcode.category
|
9418
|
+
- :path: supportingInfo:dawcode.code
|
9419
|
+
- :path: supportingInfo:refillNum.category
|
9420
|
+
- :path: supportingInfo:refillNum.value[x]
|
9421
|
+
- :path: supportingInfo:refillsAuthorized.category
|
9422
|
+
- :path: supportingInfo:refillsAuthorized.value[x]
|
9423
|
+
- :path: supportingInfo:brandgenericindicator.category
|
9424
|
+
- :path: supportingInfo:brandgenericindicator.code
|
9425
|
+
- :path: supportingInfo:rxoriginCode.category
|
9426
|
+
- :path: supportingInfo:rxoriginCode.code
|
9427
|
+
- :path: supportingInfo:clmrecvddate.category
|
9428
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
9429
|
+
- :path: supportingInfo:compoundcode.category
|
9430
|
+
- :path: supportingInfo:compoundcode.code
|
9094
9431
|
- :path: insurance
|
9095
9432
|
- :path: insurance.focal
|
9096
9433
|
- :path: insurance.coverage
|
9097
9434
|
:types:
|
9098
9435
|
- Reference
|
9436
|
+
:target_profiles:
|
9437
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
9099
9438
|
- :path: item
|
9100
9439
|
- :path: item.sequence
|
9101
9440
|
- :path: item.productOrService
|
@@ -9103,15 +9442,15 @@
|
|
9103
9442
|
- :path: item.noteNumber
|
9104
9443
|
- :path: item.adjudication
|
9105
9444
|
- :path: item.adjudication.category
|
9106
|
-
- :path: item.adjudication.category
|
9107
|
-
|
9108
|
-
- :path: item.adjudication.reason
|
9445
|
+
- :path: item.adjudication:rejectreason.category
|
9446
|
+
- :path: item.adjudication:rejectreason.reason
|
9109
9447
|
- :path: item.detail
|
9110
9448
|
- :path: item.detail.productOrService
|
9111
9449
|
- :path: item.detail.quantity
|
9112
9450
|
- :path: adjudication
|
9113
9451
|
- :path: adjudication.category
|
9114
|
-
- :path: adjudication.reason
|
9452
|
+
- :path: adjudication:billingnetworkstatus.reason
|
9453
|
+
- :path: adjudication:benefitpaymentstatus.reason
|
9115
9454
|
- :path: payment
|
9116
9455
|
- :path: payment.type
|
9117
9456
|
- :path: payment.date
|
@@ -9959,184 +10298,239 @@
|
|
9959
10298
|
:must_supports:
|
9960
10299
|
:extensions: []
|
9961
10300
|
:slices:
|
9962
|
-
- :
|
10301
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
10302
|
+
:slice_name: uniqueclaimid
|
9963
10303
|
:path: identifier
|
9964
10304
|
:discriminator:
|
9965
10305
|
:type: patternCodeableConcept
|
9966
10306
|
:path: type
|
9967
10307
|
:code: uc
|
9968
10308
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
9969
|
-
- :
|
10309
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
10310
|
+
:slice_name: clmrecvddate
|
9970
10311
|
:path: supportingInfo
|
9971
10312
|
:discriminator:
|
9972
10313
|
:type: patternCodeableConcept
|
9973
10314
|
:path: category
|
9974
10315
|
:code: clmrecvddate
|
9975
10316
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
9976
|
-
- :
|
10317
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:servicefacility
|
10318
|
+
:slice_name: servicefacility
|
9977
10319
|
:path: supportingInfo
|
9978
10320
|
:discriminator:
|
9979
10321
|
:type: patternCodeableConcept
|
9980
10322
|
:path: category
|
9981
10323
|
:code: servicefacility
|
9982
10324
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
9983
|
-
- :
|
10325
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
|
10326
|
+
:slice_name: medicalrecordnumber
|
9984
10327
|
:path: supportingInfo
|
9985
10328
|
:discriminator:
|
9986
10329
|
:type: patternCodeableConcept
|
9987
10330
|
:path: category
|
9988
10331
|
:code: medicalrecordnumber
|
9989
10332
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
9990
|
-
- :
|
10333
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientaccountnumber
|
10334
|
+
:slice_name: patientaccountnumber
|
9991
10335
|
:path: supportingInfo
|
9992
10336
|
:discriminator:
|
9993
10337
|
:type: patternCodeableConcept
|
9994
10338
|
:path: category
|
9995
10339
|
:code: patientaccountnumber
|
9996
10340
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
9997
|
-
- :
|
10341
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientweight
|
10342
|
+
:slice_name: patientweight
|
9998
10343
|
:path: supportingInfo
|
9999
10344
|
:discriminator:
|
10000
10345
|
:type: patternCodeableConcept
|
10001
10346
|
:path: category
|
10002
10347
|
:code: patientweight
|
10003
10348
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
10004
|
-
- :
|
10349
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:ambulancetransportreason
|
10350
|
+
:slice_name: ambulancetransportreason
|
10005
10351
|
:path: supportingInfo
|
10006
10352
|
:discriminator:
|
10007
10353
|
:type: patternCodeableConcept
|
10008
10354
|
:path: category
|
10009
10355
|
:code: ambulancetransportreason
|
10010
10356
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
10011
|
-
- :
|
10357
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:transportationdistance
|
10358
|
+
:slice_name: transportationdistance
|
10012
10359
|
:path: supportingInfo
|
10013
10360
|
:discriminator:
|
10014
10361
|
:type: patternCodeableConcept
|
10015
10362
|
:path: category
|
10016
10363
|
:code: transportationdistance
|
10017
10364
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
10018
|
-
- :
|
10365
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:roudtrippurpose
|
10366
|
+
:slice_name: roudtrippurpose
|
10019
10367
|
:path: supportingInfo
|
10020
10368
|
:discriminator:
|
10021
10369
|
:type: patternCodeableConcept
|
10022
10370
|
:path: category
|
10023
10371
|
:code: roudtrippurpose
|
10024
10372
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
10025
|
-
- :
|
10373
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:stretcherpurpose
|
10374
|
+
:slice_name: stretcherpurpose
|
10026
10375
|
:path: supportingInfo
|
10027
10376
|
:discriminator:
|
10028
10377
|
:type: patternCodeableConcept
|
10029
10378
|
:path: category
|
10030
10379
|
:code: stretcherpurpose
|
10031
10380
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
10032
|
-
- :
|
10381
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:pickuplocation
|
10382
|
+
:slice_name: pickuplocation
|
10033
10383
|
:path: supportingInfo
|
10034
10384
|
:discriminator:
|
10035
10385
|
:type: patternCodeableConcept
|
10036
10386
|
:path: category
|
10037
10387
|
:code: pickuplocation
|
10038
10388
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
10039
|
-
- :
|
10389
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:dropofflocation
|
10390
|
+
:slice_name: dropofflocation
|
10040
10391
|
:path: supportingInfo
|
10041
10392
|
:discriminator:
|
10042
10393
|
:type: patternCodeableConcept
|
10043
10394
|
:path: category
|
10044
10395
|
:code: dropofflocation
|
10045
10396
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
10046
|
-
- :
|
10397
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjustmentreason
|
10398
|
+
:slice_name: adjustmentreason
|
10047
10399
|
:path: item.adjudication
|
10048
10400
|
:discriminator:
|
10049
10401
|
:type: patternCodeableConcept
|
10050
10402
|
:path: category
|
10051
10403
|
:code: adjustmentreason
|
10052
10404
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
10053
|
-
- :
|
10405
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:benefitpaymentstatus
|
10406
|
+
:slice_name: benefitpaymentstatus
|
10054
10407
|
:path: item.adjudication
|
10055
10408
|
:discriminator:
|
10056
10409
|
:type: patternCodeableConcept
|
10057
10410
|
:path: category
|
10058
10411
|
:code: benefitpaymentstatus
|
10059
10412
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
10060
|
-
- :
|
10413
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:allowedunits
|
10414
|
+
:slice_name: allowedunits
|
10061
10415
|
:path: item.adjudication
|
10062
10416
|
:discriminator:
|
10063
10417
|
:type: patternCodeableConcept
|
10064
10418
|
:path: category
|
10065
10419
|
:code: allowedunits
|
10066
10420
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
10067
|
-
- :
|
10421
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
|
10422
|
+
:slice_name: adjudicationamounttype
|
10068
10423
|
:path: item.adjudication
|
10069
10424
|
:discriminator:
|
10070
10425
|
:type: requiredBinding
|
10071
10426
|
:path: category
|
10072
10427
|
:values:
|
10073
|
-
-
|
10074
|
-
|
10075
|
-
-
|
10076
|
-
|
10077
|
-
-
|
10078
|
-
|
10079
|
-
-
|
10080
|
-
|
10081
|
-
-
|
10082
|
-
|
10083
|
-
-
|
10084
|
-
|
10085
|
-
-
|
10086
|
-
|
10087
|
-
-
|
10088
|
-
|
10089
|
-
|
10428
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10429
|
+
:code: submitted
|
10430
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10431
|
+
:code: copay
|
10432
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10433
|
+
:code: eligible
|
10434
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10435
|
+
:code: deductible
|
10436
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10437
|
+
:code: benefit
|
10438
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10439
|
+
:code: coinsurance
|
10440
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10441
|
+
:code: noncovered
|
10442
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10443
|
+
:code: priorpayerpaid
|
10444
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10445
|
+
:code: paidbypatient
|
10446
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10447
|
+
:code: paidbypatientcash
|
10448
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10449
|
+
:code: paidbypatientother
|
10450
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10451
|
+
:code: paidtopatient
|
10452
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10453
|
+
:code: paidtoprovider
|
10454
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10455
|
+
:code: memberliability
|
10456
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10457
|
+
:code: discount
|
10458
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10459
|
+
:code: drugcost
|
10460
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
10461
|
+
:slice_name: billingnetworkstatus
|
10090
10462
|
:path: adjudication
|
10091
10463
|
:discriminator:
|
10092
10464
|
:type: patternCodeableConcept
|
10093
10465
|
:path: category
|
10094
10466
|
:code: billingnetworkstatus
|
10095
10467
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
10096
|
-
- :
|
10468
|
+
- :slice_id: ExplanationOfBenefit.adjudication:renderingnetworkstatus
|
10469
|
+
:slice_name: renderingnetworkstatus
|
10097
10470
|
:path: adjudication
|
10098
10471
|
:discriminator:
|
10099
10472
|
:type: patternCodeableConcept
|
10100
10473
|
:path: category
|
10101
10474
|
:code: renderingnetworkstatus
|
10102
10475
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
10103
|
-
- :
|
10476
|
+
- :slice_id: ExplanationOfBenefit.total:adjudicationamounttype
|
10477
|
+
:slice_name: adjudicationamounttype
|
10104
10478
|
:path: total
|
10105
10479
|
:discriminator:
|
10106
10480
|
:type: requiredBinding
|
10107
10481
|
:path: category
|
10108
10482
|
:values:
|
10109
|
-
-
|
10110
|
-
|
10111
|
-
-
|
10112
|
-
|
10113
|
-
-
|
10114
|
-
|
10115
|
-
-
|
10116
|
-
|
10117
|
-
-
|
10118
|
-
|
10119
|
-
-
|
10120
|
-
|
10121
|
-
-
|
10122
|
-
|
10123
|
-
-
|
10124
|
-
|
10483
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10484
|
+
:code: submitted
|
10485
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10486
|
+
:code: copay
|
10487
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10488
|
+
:code: eligible
|
10489
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10490
|
+
:code: deductible
|
10491
|
+
- :system: http://terminology.hl7.org/CodeSystem/adjudication
|
10492
|
+
:code: benefit
|
10493
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10494
|
+
:code: coinsurance
|
10495
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10496
|
+
:code: noncovered
|
10497
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10498
|
+
:code: priorpayerpaid
|
10499
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10500
|
+
:code: paidbypatient
|
10501
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10502
|
+
:code: paidbypatientcash
|
10503
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10504
|
+
:code: paidbypatientother
|
10505
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10506
|
+
:code: paidtopatient
|
10507
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10508
|
+
:code: paidtoprovider
|
10509
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10510
|
+
:code: memberliability
|
10511
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10512
|
+
:code: discount
|
10513
|
+
- :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication
|
10514
|
+
:code: drugcost
|
10125
10515
|
:elements:
|
10126
10516
|
- :path: meta
|
10127
10517
|
- :path: meta.lastUpdated
|
10128
|
-
- :path: identifier.value
|
10518
|
+
- :path: identifier:uniqueclaimid.value
|
10129
10519
|
- :path: status
|
10130
10520
|
- :path: type
|
10131
10521
|
- :path: use
|
10132
10522
|
- :path: patient
|
10133
10523
|
:types:
|
10134
10524
|
- Reference
|
10525
|
+
:target_profiles:
|
10526
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
10135
10527
|
- :path: billablePeriod
|
10136
10528
|
- :path: billablePeriod.start
|
10137
10529
|
- :path: insurer
|
10138
10530
|
:types:
|
10139
10531
|
- Reference
|
10532
|
+
:target_profiles:
|
10533
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
10140
10534
|
- :path: provider
|
10141
10535
|
:types:
|
10142
10536
|
- Reference
|
@@ -10156,11 +10550,9 @@
|
|
10156
10550
|
- :path: careTeam.role
|
10157
10551
|
- :path: careTeam.qualification
|
10158
10552
|
- :path: supportingInfo
|
10159
|
-
- :path: supportingInfo.category
|
10160
|
-
|
10161
|
-
- :path: supportingInfo.
|
10162
|
-
- :path: supportingInfo.category.coding.code
|
10163
|
-
:fixed_value: servicefacility
|
10553
|
+
- :path: supportingInfo:clmrecvddate.category
|
10554
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
10555
|
+
- :path: supportingInfo:servicefacility.category
|
10164
10556
|
- :path: diagnosis
|
10165
10557
|
- :path: diagnosis.diagnosis[x]
|
10166
10558
|
- :path: diagnosis.type
|
@@ -10169,6 +10561,8 @@
|
|
10169
10561
|
- :path: insurance.coverage
|
10170
10562
|
:types:
|
10171
10563
|
- Reference
|
10564
|
+
:target_profiles:
|
10565
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
10172
10566
|
- :path: item
|
10173
10567
|
- :path: item.sequence
|
10174
10568
|
- :path: item.productOrService
|
@@ -10176,18 +10570,18 @@
|
|
10176
10570
|
- :path: item.location[x]
|
10177
10571
|
- :path: item.noteNumber
|
10178
10572
|
- :path: item.adjudication
|
10179
|
-
- :path: item.adjudication.category.coding.code
|
10180
|
-
:fixed_value: adjustmentreason
|
10181
|
-
- :path: item.adjudication.category.coding.code
|
10182
|
-
:fixed_value: benefitpaymentstatus
|
10183
|
-
- :path: item.adjudication.reason
|
10184
|
-
- :path: item.adjudication.category.coding.code
|
10185
|
-
:fixed_value: allowedunits
|
10186
10573
|
- :path: item.adjudication.category
|
10187
|
-
- :path: item.adjudication.
|
10574
|
+
- :path: item.adjudication:adjustmentreason.category
|
10575
|
+
- :path: item.adjudication:adjustmentreason.reason
|
10576
|
+
- :path: item.adjudication:benefitpaymentstatus.category
|
10577
|
+
- :path: item.adjudication:benefitpaymentstatus.reason
|
10578
|
+
- :path: item.adjudication:allowedunits.category
|
10579
|
+
- :path: item.adjudication:adjudicationamounttype.category
|
10580
|
+
- :path: item.adjudication:adjudicationamounttype.amount
|
10188
10581
|
- :path: adjudication
|
10189
10582
|
- :path: adjudication.category
|
10190
|
-
- :path: adjudication.reason
|
10583
|
+
- :path: adjudication:billingnetworkstatus.reason
|
10584
|
+
- :path: adjudication:renderingnetworkstatus.reason
|
10191
10585
|
- :path: total
|
10192
10586
|
- :path: total.category
|
10193
10587
|
- :path: payment
|
@@ -11134,119 +11528,136 @@
|
|
11134
11528
|
:must_supports:
|
11135
11529
|
:extensions: []
|
11136
11530
|
:slices:
|
11137
|
-
- :
|
11531
|
+
- :slice_id: ExplanationOfBenefit.identifier:uniqueclaimid
|
11532
|
+
:slice_name: uniqueclaimid
|
11138
11533
|
:path: identifier
|
11139
11534
|
:discriminator:
|
11140
11535
|
:type: patternCodeableConcept
|
11141
11536
|
:path: type
|
11142
11537
|
:code: uc
|
11143
11538
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
|
11144
|
-
- :
|
11539
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:clmrecvddate
|
11540
|
+
:slice_name: clmrecvddate
|
11145
11541
|
:path: supportingInfo
|
11146
11542
|
:discriminator:
|
11147
11543
|
:type: patternCodeableConcept
|
11148
11544
|
:path: category
|
11149
11545
|
:code: clmrecvddate
|
11150
11546
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11151
|
-
- :
|
11547
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:servicefacility
|
11548
|
+
:slice_name: servicefacility
|
11152
11549
|
:path: supportingInfo
|
11153
11550
|
:discriminator:
|
11154
11551
|
:type: patternCodeableConcept
|
11155
11552
|
:path: category
|
11156
11553
|
:code: servicefacility
|
11157
11554
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11158
|
-
- :
|
11555
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
|
11556
|
+
:slice_name: medicalrecordnumber
|
11159
11557
|
:path: supportingInfo
|
11160
11558
|
:discriminator:
|
11161
11559
|
:type: patternCodeableConcept
|
11162
11560
|
:path: category
|
11163
11561
|
:code: medicalrecordnumber
|
11164
11562
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11165
|
-
- :
|
11563
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientaccountnumber
|
11564
|
+
:slice_name: patientaccountnumber
|
11166
11565
|
:path: supportingInfo
|
11167
11566
|
:discriminator:
|
11168
11567
|
:type: patternCodeableConcept
|
11169
11568
|
:path: category
|
11170
11569
|
:code: patientaccountnumber
|
11171
11570
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11172
|
-
- :
|
11571
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:patientweight
|
11572
|
+
:slice_name: patientweight
|
11173
11573
|
:path: supportingInfo
|
11174
11574
|
:discriminator:
|
11175
11575
|
:type: patternCodeableConcept
|
11176
11576
|
:path: category
|
11177
11577
|
:code: patientweight
|
11178
11578
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11179
|
-
- :
|
11579
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:ambulancetransportreason
|
11580
|
+
:slice_name: ambulancetransportreason
|
11180
11581
|
:path: supportingInfo
|
11181
11582
|
:discriminator:
|
11182
11583
|
:type: patternCodeableConcept
|
11183
11584
|
:path: category
|
11184
11585
|
:code: ambulancetransportreason
|
11185
11586
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11186
|
-
- :
|
11587
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:transportationdistance
|
11588
|
+
:slice_name: transportationdistance
|
11187
11589
|
:path: supportingInfo
|
11188
11590
|
:discriminator:
|
11189
11591
|
:type: patternCodeableConcept
|
11190
11592
|
:path: category
|
11191
11593
|
:code: transportationdistance
|
11192
11594
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11193
|
-
- :
|
11595
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:roudtrippurpose
|
11596
|
+
:slice_name: roudtrippurpose
|
11194
11597
|
:path: supportingInfo
|
11195
11598
|
:discriminator:
|
11196
11599
|
:type: patternCodeableConcept
|
11197
11600
|
:path: category
|
11198
11601
|
:code: roudtrippurpose
|
11199
11602
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11200
|
-
- :
|
11603
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:stretcherpurpose
|
11604
|
+
:slice_name: stretcherpurpose
|
11201
11605
|
:path: supportingInfo
|
11202
11606
|
:discriminator:
|
11203
11607
|
:type: patternCodeableConcept
|
11204
11608
|
:path: category
|
11205
11609
|
:code: stretcherpurpose
|
11206
11610
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11207
|
-
- :
|
11611
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:pickuplocation
|
11612
|
+
:slice_name: pickuplocation
|
11208
11613
|
:path: supportingInfo
|
11209
11614
|
:discriminator:
|
11210
11615
|
:type: patternCodeableConcept
|
11211
11616
|
:path: category
|
11212
11617
|
:code: pickuplocation
|
11213
11618
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11214
|
-
- :
|
11619
|
+
- :slice_id: ExplanationOfBenefit.supportingInfo:dropofflocation
|
11620
|
+
:slice_name: dropofflocation
|
11215
11621
|
:path: supportingInfo
|
11216
11622
|
:discriminator:
|
11217
11623
|
:type: patternCodeableConcept
|
11218
11624
|
:path: category
|
11219
11625
|
:code: dropofflocation
|
11220
11626
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
|
11221
|
-
- :
|
11627
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:adjustmentreason
|
11628
|
+
:slice_name: adjustmentreason
|
11222
11629
|
:path: item.adjudication
|
11223
11630
|
:discriminator:
|
11224
11631
|
:type: patternCodeableConcept
|
11225
11632
|
:path: category
|
11226
11633
|
:code: adjustmentreason
|
11227
11634
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
11228
|
-
- :
|
11635
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:benefitpaymentstatus
|
11636
|
+
:slice_name: benefitpaymentstatus
|
11229
11637
|
:path: item.adjudication
|
11230
11638
|
:discriminator:
|
11231
11639
|
:type: patternCodeableConcept
|
11232
11640
|
:path: category
|
11233
11641
|
:code: benefitpaymentstatus
|
11234
11642
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
11235
|
-
- :
|
11643
|
+
- :slice_id: ExplanationOfBenefit.item.adjudication:allowedunits
|
11644
|
+
:slice_name: allowedunits
|
11236
11645
|
:path: item.adjudication
|
11237
11646
|
:discriminator:
|
11238
11647
|
:type: patternCodeableConcept
|
11239
11648
|
:path: category
|
11240
11649
|
:code: allowedunits
|
11241
11650
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
11242
|
-
- :
|
11651
|
+
- :slice_id: ExplanationOfBenefit.adjudication:billingnetworkstatus
|
11652
|
+
:slice_name: billingnetworkstatus
|
11243
11653
|
:path: adjudication
|
11244
11654
|
:discriminator:
|
11245
11655
|
:type: patternCodeableConcept
|
11246
11656
|
:path: category
|
11247
11657
|
:code: billingnetworkstatus
|
11248
11658
|
:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
|
11249
|
-
- :
|
11659
|
+
- :slice_id: ExplanationOfBenefit.adjudication:renderingnetworkstatus
|
11660
|
+
:slice_name: renderingnetworkstatus
|
11250
11661
|
:path: adjudication
|
11251
11662
|
:discriminator:
|
11252
11663
|
:type: patternCodeableConcept
|
@@ -11256,18 +11667,22 @@
|
|
11256
11667
|
:elements:
|
11257
11668
|
- :path: meta
|
11258
11669
|
- :path: meta.lastUpdated
|
11259
|
-
- :path: identifier.value
|
11670
|
+
- :path: identifier:uniqueclaimid.value
|
11260
11671
|
- :path: status
|
11261
11672
|
- :path: type
|
11262
11673
|
- :path: use
|
11263
11674
|
- :path: patient
|
11264
11675
|
:types:
|
11265
11676
|
- Reference
|
11677
|
+
:target_profiles:
|
11678
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
11266
11679
|
- :path: billablePeriod
|
11267
11680
|
- :path: billablePeriod.start
|
11268
11681
|
- :path: insurer
|
11269
11682
|
:types:
|
11270
11683
|
- Reference
|
11684
|
+
:target_profiles:
|
11685
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
|
11271
11686
|
- :path: provider
|
11272
11687
|
:types:
|
11273
11688
|
- Reference
|
@@ -11287,11 +11702,9 @@
|
|
11287
11702
|
- :path: careTeam.role
|
11288
11703
|
- :path: careTeam.qualification
|
11289
11704
|
- :path: supportingInfo
|
11290
|
-
- :path: supportingInfo.category
|
11291
|
-
|
11292
|
-
- :path: supportingInfo.
|
11293
|
-
- :path: supportingInfo.category.coding.code
|
11294
|
-
:fixed_value: servicefacility
|
11705
|
+
- :path: supportingInfo:clmrecvddate.category
|
11706
|
+
- :path: supportingInfo:clmrecvddate.timing[x]
|
11707
|
+
- :path: supportingInfo:servicefacility.category
|
11295
11708
|
- :path: diagnosis
|
11296
11709
|
- :path: diagnosis.diagnosis[x]
|
11297
11710
|
- :path: diagnosis.type
|
@@ -11300,6 +11713,8 @@
|
|
11300
11713
|
- :path: insurance.coverage
|
11301
11714
|
:types:
|
11302
11715
|
- Reference
|
11716
|
+
:target_profiles:
|
11717
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
|
11303
11718
|
- :path: item
|
11304
11719
|
- :path: item.sequence
|
11305
11720
|
- :path: item.productOrService
|
@@ -11308,16 +11723,15 @@
|
|
11308
11723
|
- :path: item.noteNumber
|
11309
11724
|
- :path: item.adjudication
|
11310
11725
|
- :path: item.adjudication.category
|
11311
|
-
- :path: item.adjudication.category
|
11312
|
-
|
11313
|
-
- :path: item.adjudication.category
|
11314
|
-
|
11315
|
-
- :path: item.adjudication.
|
11316
|
-
- :path: item.adjudication.category.coding.code
|
11317
|
-
:fixed_value: allowedunits
|
11726
|
+
- :path: item.adjudication:adjustmentreason.category
|
11727
|
+
- :path: item.adjudication:adjustmentreason.reason
|
11728
|
+
- :path: item.adjudication:benefitpaymentstatus.category
|
11729
|
+
- :path: item.adjudication:benefitpaymentstatus.reason
|
11730
|
+
- :path: item.adjudication:allowedunits.category
|
11318
11731
|
- :path: adjudication
|
11319
11732
|
- :path: adjudication.category
|
11320
|
-
- :path: adjudication.reason
|
11733
|
+
- :path: adjudication:billingnetworkstatus.reason
|
11734
|
+
- :path: adjudication:renderingnetworkstatus.reason
|
11321
11735
|
- :path: payment
|
11322
11736
|
- :path: payment.type
|
11323
11737
|
- :path: processNote
|
@@ -12029,25 +12443,29 @@
|
|
12029
12443
|
:must_supports:
|
12030
12444
|
:extensions: []
|
12031
12445
|
:slices:
|
12032
|
-
- :
|
12446
|
+
- :slice_id: Organization.identifier:NPI
|
12447
|
+
:slice_name: NPI
|
12033
12448
|
:path: identifier
|
12034
12449
|
:discriminator:
|
12035
12450
|
:type: patternIdentifier
|
12036
12451
|
:path: ''
|
12037
12452
|
:system: http://hl7.org/fhir/sid/us-npi
|
12038
|
-
- :
|
12453
|
+
- :slice_id: Organization.identifier:tax
|
12454
|
+
:slice_name: tax
|
12039
12455
|
:path: identifier
|
12040
12456
|
:discriminator:
|
12041
12457
|
:type: patternIdentifier
|
12042
12458
|
:path: ''
|
12043
12459
|
:system: urn:oid:2.16.840.1.113883.4.4
|
12044
|
-
- :
|
12460
|
+
- :slice_id: Organization.identifier:payerid
|
12461
|
+
:slice_name: payerid
|
12045
12462
|
:path: identifier
|
12046
12463
|
:discriminator:
|
12047
12464
|
:type: patternIdentifier
|
12048
12465
|
:path: ''
|
12049
12466
|
:system:
|
12050
|
-
- :
|
12467
|
+
- :slice_id: Organization.identifier:naiccode
|
12468
|
+
:slice_name: naiccode
|
12051
12469
|
:path: identifier
|
12052
12470
|
:discriminator:
|
12053
12471
|
:type: patternIdentifier
|
@@ -12183,20 +12601,25 @@
|
|
12183
12601
|
:must_supports:
|
12184
12602
|
:extensions:
|
12185
12603
|
- :id: Patient.extension:race
|
12604
|
+
:path: extension
|
12186
12605
|
:url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
|
12187
12606
|
- :id: Patient.extension:ethnicity
|
12607
|
+
:path: extension
|
12188
12608
|
:url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
|
12189
12609
|
- :id: Patient.extension:birthsex
|
12610
|
+
:path: extension
|
12190
12611
|
:url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
|
12191
12612
|
:slices:
|
12192
|
-
- :
|
12613
|
+
- :slice_id: Patient.identifier:memberid
|
12614
|
+
:slice_name: memberid
|
12193
12615
|
:path: identifier
|
12194
12616
|
:discriminator:
|
12195
12617
|
:type: patternCodeableConcept
|
12196
12618
|
:path: type
|
12197
12619
|
:code: MB
|
12198
12620
|
:system: http://terminology.hl7.org/CodeSystem/v2-0203
|
12199
|
-
- :
|
12621
|
+
- :slice_id: Patient.identifier:uniquememberid
|
12622
|
+
:slice_name: uniquememberid
|
12200
12623
|
:path: identifier
|
12201
12624
|
:discriminator:
|
12202
12625
|
:type: patternCodeableConcept
|
@@ -12209,6 +12632,10 @@
|
|
12209
12632
|
- :path: identifier
|
12210
12633
|
- :path: identifier.system
|
12211
12634
|
- :path: identifier.value
|
12635
|
+
- :path: identifier:memberid.system
|
12636
|
+
- :path: identifier:memberid.value
|
12637
|
+
- :path: identifier:uniquememberid.system
|
12638
|
+
- :path: identifier:uniquememberid.value
|
12212
12639
|
- :path: name
|
12213
12640
|
- :path: name.family
|
12214
12641
|
- :path: name.given
|
@@ -12425,13 +12852,15 @@
|
|
12425
12852
|
:must_supports:
|
12426
12853
|
:extensions: []
|
12427
12854
|
:slices:
|
12428
|
-
- :
|
12855
|
+
- :slice_id: Practitioner.identifier:NPI
|
12856
|
+
:slice_name: NPI
|
12429
12857
|
:path: identifier
|
12430
12858
|
:discriminator:
|
12431
12859
|
:type: patternIdentifier
|
12432
12860
|
:path: ''
|
12433
12861
|
:system: http://hl7.org/fhir/sid/us-npi
|
12434
|
-
- :
|
12862
|
+
- :slice_id: Practitioner.identifier:tax
|
12863
|
+
:slice_name: tax
|
12435
12864
|
:path: identifier
|
12436
12865
|
:discriminator:
|
12437
12866
|
:type: patternIdentifier
|
@@ -12562,6 +12991,8 @@
|
|
12562
12991
|
- :path: patient
|
12563
12992
|
:types:
|
12564
12993
|
- Reference
|
12994
|
+
:target_profiles:
|
12995
|
+
- http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
|
12565
12996
|
- :path: relationship
|
12566
12997
|
- :path: name
|
12567
12998
|
- :path: telecom
|