RubyGems - carin_for_blue_button_test_kit - Versions diffs - 0.15.0 → 0.15.1 - Mend

carin_for_blue_button_test_kit 0.15.0 → 0.15.1

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data/lib/carin_for_blue_button_test_kit/requirements/carin-for-blue-button-test-kit_requirements.csv CHANGED Viewed

@@ -1,121 +1,108 @@
 Req Set,ID,URL,Requirement,Conformance,Actor,Sub-Requirement(s),Conditionality
-hl7.fhir.us.carin-bb_2.0.0,1,https://hl7.org/fhir/us/carin-bb/STU2/Background.html,The CARIN IG for Blue Button® requires the use of the SMART App Launch Framework’s standalone launch sequence,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,1,https://hl7.org/fhir/us/carin-bb/STU2/Background.html#smart-application-launch,The CARIN IG for Blue Button® requires the use of the SMART App Launch Framework’s standalone launch sequence as it will clarify that applications maintain a patient context for the duration of the connection.,SHALL,Health Plan/Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,2,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"When querying and reading CARIN IG for Blue Button® Profiles, *Must Support* on any profile data element SHALL be interpreted as follows: ...
 Health Plan API actors SHALL be capable of populating all data elements the payer maintains as part of the query results as specified by the CARINBlueButtonHealthPlanAPICapabilityStatement.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,3,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"When querying and reading CARIN IG for Blue Button® Profiles, *Must Support* on any profile data element SHALL be interpreted as follows: ...
-Consumer App actors SHALL be capable of processing resource instances containing the data elements without generating an error or causing the application to fail.",SHALL,Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,4,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"When querying and reading CARIN IG for Blue Button® Profiles, *Must Support* on any profile data element SHALL be interpreted as follows:…
-Consumer App actors SHALL be capable of displaying the data elements for human use.",SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,3,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,[*Must Support* on profile data elements means] Consumer App actors SHALL be capable of processing resource instances containing the data elements without generating an error or causing the application to fail.,SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,4,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,[*Must Support* on profile data elements means] Consumer App actors SHALL be capable of displaying the data elements for human use.,SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,5,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"When querying and reading CARIN IG for Blue Button® Profiles, *Must Support* on any profile data element SHALL be interpreted as follows:...
 In situations where information on a particular data element is not present and the reason for absence is unknown, Health Plan API actors SHALL NOT include the data elements in the resource instance returned as part of the query results.",SHALL NOT,Health Plan,,true
-hl7.fhir.us.carin-bb_2.0.0,6,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"When querying and reading CARIN IG for Blue Button® Profiles, *Must Support* on any profile data element SHALL be interpreted as follows: ...
-When querying Health Plan API actors, Consumer App actors SHALL interpret missing data elements within resource instances as data not present in the Health Plan API actors system.",SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,6,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"[*Must Support* on profile data elements means w]hen querying Health Plan API actors, Consumer App actors SHALL interpret missing data elements within resource instances as data not present in the Health Plan API actors system.",SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,7,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"When querying and reading CARIN IG for Blue Button® Profiles, *Must Support* on any profile data element SHALL be interpreted as follows: ...
 In situations where information on a particular data element is missing and the Health Plan API actor knows the precise reason for the absence of data, Health Plan API actors SHALL send the reason for the missing information using values (such as nullFlavors) from the value set where they exist or use the dataAbsentReason extension.",SHALL,Health Plan,,true
-hl7.fhir.us.carin-bb_2.0.0,8,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,"When querying and reading CARIN IG for Blue Button® Profiles, *Must Support* on any profile data element SHALL be interpreted as follows: ...
-Consumer App actors SHALL be able to process resource instances containing data elements asserting missing information.",SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,8,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#must-support,[*Must Support* on profile data elements means] Consumer App actors SHALL be able to process resource instances containing data elements asserting missing information.,SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,9,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#missing-data,"If the source system does not have data for a *Must Support* data element with minimum cardinality = 0, the data element is omitted from the resource.",SHALL,Health Plan,,true
-hl7.fhir.us.carin-bb_2.0.0,10,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#missing-data,"If the source system does not have data for a required data element (in other words, where the minimum cardinality is > 0), follow guidance defined in the core FHIR specification and summarized in the US Core.",SHALL,Health Plan,,true
+hl7.fhir.us.carin-bb_2.0.0,10,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#missing-data,"If the source system does not have data for a required data element (in other words, where the minimum cardinality is > 0), follow guidance defined in the core FHIR specification and summarized in the US Core.",SHALL,Health Plan,"hl7.fhir.us.core_7.0.0,hl7.fhir_4.0.1",true
 hl7.fhir.us.carin-bb_2.0.0,11,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#conformance-to-us-core-profiles,"Any actor acting as a Health Plan API actor in this IG SHALL:…
 Be able to populate all profile data elements that have a minimum cardinality >= 1 and/or flagged as *Must Support* as defined by that profiles StructureDefinition.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,12,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#conformance-to-us-core-profiles,"Any actor acting as a Health Plan API actor in this IG SHALL:…
 Conform to the US Core Health Plan Capability Statement expectations for that profile's type.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,13,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#conformance-to-us-core-profiles,"Any actor acting a FHIR Client in this IG SHALL:…
-Be able to process and retain all profile data elements that have a minimum cardinality >= 1 and/or flagged as Must Support as defined by that profiles StructureDefinition.",SHALL,Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,14,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html,"Any actor acting a FHIR Client in this IG SHALL:…
-Conform to the US Core Client Capability Statement expectations for that profiles type.",SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,13,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#conformance-to-us-core-profiles,Any actor acting [as] a FHIR Client in this IG SHALL … [b]e able to process and retain all profile data elements that have a minimum cardinality >= 1 and/or flagged as Must Support as defined by that profiles StructureDefinition.,SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,14,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#conformance-to-us-core-profiles,Any actor acting [as] a FHIR Client in this IG SHALL … [c]onform to the US Core Client Capability Statement expectations for that profiles type.,SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,15,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#profiling-constraints,"Data element that are not part of this scope have not been constrained out, and as such, may be included by the Health Plan API.",MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,16,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#profiling-constraints,"If a Health Plan API includes additional information, there SHALL be no expectation that client applications support the data in any way in order to be conformant with this specification.",SHALL NOT,Consumer,,true
 hl7.fhir.us.carin-bb_2.0.0,17,http://hl7.org/fhir/us/carin-bb/STU2/Conformance_Requirements.html#capabilitystatement-Health Plan-requirement,Health Plans claiming conformance to this guide SHALL include a CapabilityStatement that has a CapabilityStatement.instantiates with a URL of http://hl7.org/fhir/us/carin-bb/CapabilityStatement/c4bb or a URL to the appropriate version of the CapabilityStatement.,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,18,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,payers **MAY** choose to provide a concept text `[CodeableConcept].text` or the coding display `[CodeableConcept].coding.display.`,MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,19,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,"If the ‘display’ element is populated, the string used in `display` **SHALL** be one of the display strings defined for that code by the code system (code systems may define multiple display strings for a single code).",SHALL,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,20,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,"If the code description available is not known to be an exact match of a display string defined by the code system, the `[CodeableConcept].text` should be used in place of the `[CodeableConcept].coding.display`.",SHOULD,Health Plan,,true
-hl7.fhir.us.carin-bb_2.0.0,21,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,Payers **MAY** choose to also provide resource level text to enable consumers apps to render resources in a manner that the payer would like to have the data presented. ,MAY,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,21,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,Payers **MAY** choose to also provide resource level text to enable consumers apps to render resources in a manner that the payer would like to have the data presented.,MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,22,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,The `[Resource].text` is a Narrative datatype that has a `div` element that is an xhtml datatype. This element **MAY** be used to provide an easily renderable version of the resource that is meant for human viewing.,MAY,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,23,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,Payers may also provide additional data elements beyond what is in this guide. ,MAY,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,23,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,Payers may also provide additional data elements beyond what is in this guide.,MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,24,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,"Payers SHOULD include descriptions of the data elements they provide, particularly for data elements not covered in this guide",SHOULD,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,25,http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#considerations-for-improving-interoperability,"As part of their API documentation, Payers … may consider providing a display mapping like can be found in the [Example Printed Explanation Of Benefit Mapping](http://hl7.org/fhir/us/carin-bb/STU2/General_Guidance.html#example-printed-eob-mapping) section of this implementation guide.",MAY,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,26,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html#common-payer-consumer-data-set-cpcds,The Common Payer Consumer Data Set (CPCDS)… The CPCDS data elements can be stored and queried as profiled FHIR resources. ,MAY,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,27,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html, The Common Payer Consumer Data Set (CPCDS)… [The CPCDS data elements] define key payer financial health data that SHALL be accessible and available to through standards-based APIs.,SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,28,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html#common-payer-consumer-data-set-cpcds,"The Common Payer Consumer Data Set (CPCDS)… Data SHALL conform to specified profiles, vocabulary standards and code sets. ",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,29,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html,"Based on CPCDS, the mappings define the minimum mandatory elements, extensions and terminology requirements that must be present in the FHIR resource. Additional business rules are also specified.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,30,http://hl7.org/fhir/us/carin-bb/STU2/Terminology_Licensure.html#access-to-licensed-code-systems,Implementers ... of this specification SHALL abide by the license requirements for each terminology content artifact utilized within a functioning implementation. ,SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,31,http://hl7.org/fhir/us/carin-bb/STU2/Terminology_Licensure.html#access-to-licensed-code-systems,Terminology licenses SHALL be obtained from the Third Party IP owner for each code system and/or other specified artifact used. ,SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,32,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	_id 	token 	GET [base]/ExplanationOfBenefit?_id=[id]",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,26,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html#common-payer-consumer-data-set-cpcds,The Common Payer Consumer Data Set (CPCDS)… The CPCDS data elements can be stored and queried as profiled FHIR resources.,DEPRECATED,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,27,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html#common-payer-consumer-data-set-cpcds,The Common Payer Consumer Data Set (CPCDS)… [The CPCDS data elements] define key payer financial health data that SHALL be accessible and available to through standards-based APIs.,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,28,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html#common-payer-consumer-data-set-cpcds,"The Common Payer Consumer Data Set (CPCDS)… Data SHALL conform to specified profiles, vocabulary standards and code sets.",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,29,http://hl7.org/fhir/us/carin-bb/STU2/Common_Payer_Consumer_Data_Set.html#mapping-from-cpcds-to-fhir-resources,"Based on CPCDS, the mappings define the minimum mandatory elements, extensions and terminology requirements that must be present in the FHIR resource. Additional business rules are also specified.",DEPRECATED,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,30,http://hl7.org/fhir/us/carin-bb/STU2/Terminology_Licensure.html#access-to-licensed-code-systems,Implementers ... of this specification SHALL abide by the license requirements for each terminology content artifact utilized within a functioning implementation.,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,31,http://hl7.org/fhir/us/carin-bb/STU2/Terminology_Licensure.html#access-to-licensed-code-systems,Terminology licenses SHALL be obtained from the Third Party IP owner for each code system and/or other specified artifact used.,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,32,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
+ExplanationOfBenefit 	_id 	token 	GET [base]/ExplanationOfBenefit?_id=[id]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,33,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	_lastUpdated 	date 	GET [base]/ExplanationOfBenefit?_lastUpdated=[_lastUpdated]",SHALL,Health Plan,,false
+ExplanationOfBenefit 	_lastUpdated 	date 	GET [base]/ExplanationOfBenefit?_lastUpdated=[_lastUpdated]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,34,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	identifier 	token 	GET [base]/ExplanationOfBenefit?identifier=[system]|[code]",SHALL,Health Plan,,false
+ExplanationOfBenefit 	identifier 	token 	GET [base]/ExplanationOfBenefit?identifier=[system]|[code]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,35,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	patient 	reference 	GET [base]/ExplanationOfBenefit?patient=[patient]",SHALL,Health Plan,,false
+ExplanationOfBenefit 	patient 	reference 	GET [base]/ExplanationOfBenefit?patient=[patient]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,36,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	type 	token 	GET [base]/ExplanationOfBenefit?type=[system]|[code]",SHALL,Health Plan,,false
+ExplanationOfBenefit 	type 	token 	GET [base]/ExplanationOfBenefit?type=[system]|[code]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,37,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	service-date 	date 	GET [base]/ExplanationOfBenefit?service-date=[service-date]",SHALL,Health Plan,,false
+ExplanationOfBenefit 	service-date 	date 	GET [base]/ExplanationOfBenefit?service-date=[service-date]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,38,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	service-start-date 	date 	GET [base]/ExplanationOfBenefit?service-start-date=[service-start-date]",SHALL,Health Plan,,false
+ExplanationOfBenefit 	service-start-date 	date 	GET [base]/ExplanationOfBenefit?service-start-date=[service-start-date]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,39,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#search-parameters-required-by-this-implementation-guide,"Search Parameters Required By This Implementation Guide…
-ExplanationOfBenefit 	billable-period-start 	date 	GET [base]/ExplanationOfBenefit?billable-period-start=[billable-period-start]",SHALL,Health Plan,,false
+ExplanationOfBenefit 	billable-period-start 	date 	GET [base]/ExplanationOfBenefit?billable-period-start=[billable-period-start]",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,40,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#coverage,"A Server SHALL be capable of supporting the following _includes:…
-Coverage:payor - GET [base]/Coverage?_include=Coverage:payor",SHALL,Health Plan,,false
+Coverage:payor - GET [base]/Coverage?_include=Coverage:payor",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,41,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#explanationofbenefit,"A Server SHALL be capable of supporting the following _includes:…
-ExplanationOfBenefit:patient - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:patient",SHALL,Health Plan,,false
+ExplanationOfBenefit:patient - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:patient",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,42,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#explanationofbenefit,"A Server SHALL be capable of supporting the following _includes:…
-ExplanationOfBenefit:provider - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:provider",SHALL,Health Plan,,false
+ExplanationOfBenefit:provider - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:provider",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,43,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#explanationofbenefit,"A Server SHALL be capable of supporting the following _includes:…
-ExplanationOfBenefit:care-team - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:care-team",SHALL,Health Plan,,false
+ExplanationOfBenefit:care-team - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:care-team",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,44,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#explanationofbenefit,"A Server SHALL be capable of supporting the following _includes:…
-ExplanationOfBenefit:coverage - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:coverage",SHALL,Health Plan,,false
+ExplanationOfBenefit:coverage - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:coverage",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,45,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#explanationofbenefit,"A Server SHALL be capable of supporting the following _includes:…
-ExplanationOfBenefit:insurer - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:insurer",SHALL,Health Plan,,false
+ExplanationOfBenefit:insurer - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:insurer",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,46,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#explanationofbenefit,"A Server SHALL be capable of supporting the following _includes:…
-ExplanationOfBenefit:payee - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:payee",SHALL,Health Plan,,false
+ExplanationOfBenefit:payee - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:payee",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,47,http://hl7.org/fhir/us/carin-bb/STU2/searchparameters.html#explanationofbenefit,"A Server SHALL be capable of supporting the following _includes:…
 ExplanationOfBenefit:* - GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:*
-Note: _include=ExplanationOfBenefit:* means, at minimum, the resources that are included as reference type search parameters for the ExplanationOfBenefit resource on the Health Plan. Health Plans claiming compliance to this guide will, at minimum, support the include of patient, provider, care-team, coverage, and insurer, and will support returning all of them in support ExplanationOfBenefit:*. This guide does not require all of these as search parameters, but are defined as part of the _include requirement. For example, the insurer search parameter is not required because in the context of the use case, it is anticipated there will ever be one insurer. It however must be returned in the _include=ExplanationOfBenefit:* results. The means in which this is done (including defining all of the _include as search parameters) is not defined by this guide.",SHALL,Health Plan,,false
+Note: _include=ExplanationOfBenefit:* means, at minimum, the resources that are included as reference type search parameters for the ExplanationOfBenefit resource on the Health Plan. Health Plans claiming compliance to this guide will, at minimum, support the include of patient, provider, care-team, coverage, and insurer, and will support returning all of them in support ExplanationOfBenefit:*. This guide does not require all of these as search parameters, but are defined as part of the _include requirement. For example, the insurer search parameter is not required because in the context of the use case, it is anticipated there will ever be one insurer. It however must be returned in the _include=ExplanationOfBenefit:* results. The means in which this is done (including defining all of the _include as search parameters) is not defined by this guide.",DEPRECATED,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,48,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#general-considerations,"Members need to be able to direct the communication of this information through authenticated, authorized, and secure channels.",SHALL,Health Plan/Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,49,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html,Exchange of this information needs to be protected with proper security and privacy protections to avoid malicious or unintentional exposure of such information. ,SHALL,Health Plan/Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,49,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#general-considerations,Exchange of this information needs to be protected with proper security and privacy protections to avoid malicious or unintentional exposure of such information.,SHALL,Health Plan/Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,50,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#general-considerations,All consumer-directed payer data exchanges must be appropriately secured in transit and access limited only to authorized individuals.,SHALL,Health Plan/Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,51,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#legal-and-regulatory-requirements,"Implementers must ensure that APIs fully and successfully implement privacy and security features such as, but not limited to, those required to comply with HIPAA privacy and security requirements and other applicable law protecting the privacy and security of protected health information.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,52,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#securityprivacy-related-technologies-including-explicit-consent-and-security-labels,"
-1. While past ONC regulations did have optional rules for data labeling and consent directives, as of May 2020, ONC has elected to not establish rules for either data labeling and consent directives as part of the Final Rule for the 21st Century Cures Act.
+hl7.fhir.us.carin-bb_2.0.0,52,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#securityprivacy-related-technologies-including-explicit-consent-and-security-labels,"1. While past ONC regulations did have optional rules for data labeling and consent directives, as of May 2020, ONC has elected to not establish rules for either data labeling and consent directives as part of the Final Rule for the 21st Century Cures Act.
 2. At present there is no explicit regulatory requirement for the use of these technologies in conjunction with this guide.
 3. However, to meet the statutes, regulations, and guiding principles above, consent directives and security labels MAY be considered and used.
 4. Organizations which plan to take advantage of these additional capabilities are responsible for negotiating support for these mechanisms between trading partners. The FHIR implementation guide defining the recommended standard is the FHIR Data Segmentation for Privacy IG.",MAY,Health Plan/Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,53,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#security-considerations-and-guidance,"All implementers of the CARIN Consumer-Directed Payer Data Exchange Implementation Guide (IG) should follow the FHIR Security guidance, Security and Privacy Module, and the FHIR Implementer’s Safety Checklist guidance as defined in the FHIR standard where applicable and not otherwise superseded by this section of the IG.",SHOULD,Health Plan/Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,54,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#exchange-security,The exchange of information SHOULD use the current version...of Transport Level Security (TLS) as specified by the current release of NIST guidelines (SP 800-52). ,SHOULD,Health Plan/Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,54,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#exchange-security,The exchange of information SHOULD use the current version...of Transport Level Security (TLS) as specified by the current release of NIST guidelines (SP 800-52).,SHOULD,Health Plan/Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,55,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#exchange-security,The exchange of information … SHALL use either current or the immediately prior release of Transport Level Security (TLS) as specified by the current release of NIST guidelines (SP 800-52).,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,56,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#exchange-security,Implementers of this Implementation Guide SHOULD support SMART on FHIR Authorization best practices Transport Security section.,SHOULD,Health Plan/Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,57,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Implementations SHALL support the FHIR US Core [Patient Privacy and Security requirements](https://www.hl7.org/fhir/us/core/security.html),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,57,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Implementations SHALL support the FHIR US Core [Patient Privacy and Security requirements](https://www.hl7.org/fhir/us/core/security.html),SHALL,Health Plan,hl7.fhir.us.core_7.0.0,false
 hl7.fhir.us.carin-bb_2.0.0,58,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server systems SHALL publish their authorization and token endpoints for discovery in accordance with the SMART App Launch framework and publicly publish the Well-Known Uniform Resource Identifiers (URIs) JSON file with scopes defined in the scopes_supported property.,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,59,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Implementations SHOULD consider the SMART on FHIR Best Practices in Authorization found [here](https://docs.smarthealthit.org/authorization/best-practices/).,SHOULD,Health Plan/Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,60,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,"Server implementation SHALL support the following [“SMART Core Capabilities”](http://hl7.org/fhir/smart-app-launch/conformance/index.html#core-capabilities)...
@@ -145,7 +132,7 @@ hl7.fhir.us.carin-bb_2.0.0,67,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_
 hl7.fhir.us.carin-bb_2.0.0,68,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … openid,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,69,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … fhirUser,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,70,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … launch/patient,SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,71,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … patient/ExplanationOfBenefit.read,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,71,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … patient/ExplanationOfBenefit.read,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,72,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … patient/Coverage.read,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,73,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … patient/Patient.read,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,74,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … patient/Organization.read,SHALL,Health Plan,,false
@@ -157,16 +144,16 @@ hl7.fhir.us.carin-bb_2.0.0,79,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_
 hl7.fhir.us.carin-bb_2.0.0,80,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … user/Organization.read,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,81,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,Server implementations of this Implementation Guide SHALL support … the requested authorization scopes: … user/Practitioner.read,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,82,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,"MAY support the [Security for Scalable Registration, Authentication, and Authorization 0.1.0](http://hl7.org/fhir/us/udap-security/2021Sep/) or later for registration of client applications and (authentication and authorization of client applications or users)",MAY,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,83,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements," If UDAP is supported, then all Server systems and Client applications that can protect private cryptographic keys and all systems of record SHOULD support UDAP JWT-Based Consumer Authentication for the authentication of client applications using asymmetric cryptography.",SHOULD,Health Plan/Consumer,,true
-hl7.fhir.us.carin-bb_2.0.0,84,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html,Relevant audit and provenance events SHALL be recorded.,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,83,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#authentication-and-authorization-requirements,"If UDAP is supported, then all Server systems and Client applications that can protect private cryptographic keys and all systems of record SHOULD support UDAP JWT-Based Consumer Authentication for the authentication of client applications using asymmetric cryptography.",SHOULD,Health Plan/Consumer,,true
+hl7.fhir.us.carin-bb_2.0.0,84,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#audit-logging-and-provenance,Relevant audit and provenance events SHALL be recorded.,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,85,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#audit-logging-and-provenance,Server implementations SHOULD record IG related data access using the [AuditEvent](http://hl7.org/fhir/R4/auditevent.html) resource.,SHOULD,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,86,http://hl7.org/fhir/us/carin-bb/STU2/Security_And_Privacy_Considerations.html#audit-logging-and-provenance,Server implementations SHOULD support the ability to directly record and/or enable Clients to assert (store) provenance associated with advance directive information using the [Provenance](http://hl7.org/fhir/R4/provenance.html) resource.,SHOULD,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,87,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#root,"The Coverage Reference Resource SHALL be returned with data that was effective as of the date of service of the claim; for example, the data will reflect the employer name in effect at that time. ",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,88,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#root,"However, for other reference resources [than Coverage Reference Resource], payers MAY decide to provide either the data that was in effect as of the date of service or the current data. ",MAY,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,87,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#root,"The Coverage Reference Resource SHALL be returned with data that was effective as of the date of service of the claim; for example, the data will reflect the employer name in effect at that time.",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,88,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#root,"However, for other reference resources [than Coverage Reference Resource], payers MAY decide to provide either the data that was in effect as of the date of service or the current data.",MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,89,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#root,"Payers SHALL provide the last time the data was updated or the date of creation in the payers system of record, whichever comes last.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,90,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#root,Apps will use the meta.lastUpdated values to determine if the reference resources are as of the current date or date of service.,SHALL,Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,91,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#title,"The Coverage Reference Resource SHALL be returned with data that was effective as of the date of service of the claim; for example, the data will reflect the employer name in effect at that time. ",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,92,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#title,"However, for other reference resources [than Coverage Reference Resource], payers MAY decide to provide either the data that was in effect as of the date of service or the current data. ",MAY,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,91,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#title,"The Coverage Reference Resource SHALL be returned with data that was effective as of the date of service of the claim; for example, the data will reflect the employer name in effect at that time.",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,92,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#title,"However, for other reference resources [than Coverage Reference Resource], payers MAY decide to provide either the data that was in effect as of the date of service or the current data.",MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,93,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#title,"Payers SHALL provide the last time the data was updated or the date of creation in the payers system of record, whichever comes last.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,94,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#title,Apps will use the meta.lastUpdated values to determine if the reference resources are as of the current date or date of service.,SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,95,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#behavior,The C4BB Server SHALL: … Support all profiles defined in this Implementation Guide.,SHALL,Health Plan,,false
@@ -184,32 +171,32 @@ hl7.fhir.us.carin-bb_2.0.0,101,http://hl7.org/fhir/us/carin-bb/STU2/CapabilitySt
 hl7.fhir.us.carin-bb_2.0.0,102,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#behavior,"A Server SHALL reject any unauthorized requests by returning an HTTP 401 ""Unauthorized"", HTTP 403 ""Forbidden"", or HTTP 404 ""Not Found"" .",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,103,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,Explanation of Benefits: Conformance Expectation SHALL,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,104,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,"When an EOB references another resource (e.g., Patient or Practitioner), the reference may be versioned or versionless.",MAY,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,105,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,"Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim), ",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,105,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,"Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim),",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,106,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,Payers... MAY use versionless references when they do not maintain versioned data.,MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,107,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,Clients MAY request referenced resources as part of an EOB search (by supplying the _include parameter) or directly using read or vread.,MAY,Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,108,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,"Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case. ",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,108,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,"Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,109,http://hl7.org/fhir/us/carin-bb/STU2/CapabilityStatement-c4bb.html#explanationofbenefit,"“:iterate"" should be used if you request to include Coverage:payor in the EOB response bundle, e.g. GET [base]/ExplanationOfBenefit?_id[parameter=value]&_include=ExplanationOfBenefit:coverage&_include:iterate=Coverage:payor.",SHOULD,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,110,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#root,"All EOB instances should be from one of the four concrete EOB profiles defined in this Implementation Guide: Inpatient, Outpatient, Pharmacy, and Professional/NonClinician",SHOULD,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,111,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#other-payer,CPCDS modified the concept of primary payer to other payer to accommodate situations when multiple prior payers are involved.  Each amount paid by the other payer should be listed separately.,SHOULD,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,112,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html,".meta.lastUpdated: Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,113,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".status:  value =Expected values are active or cancelled. To comply with the CMS rule, draft EOBs are not required. ",SHOULD,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,114,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,.type Defines the Claims profiles. Values from Claim Type Codes are required; ,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,112,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".meta.lastUpdated: Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last.",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,113,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".status:  value =Expected values are active or cancelled. To comply with the CMS rule, draft EOBs are not required.",SHOULD,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,114,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,.type Defines the Claims profiles. Values from Claim Type Codes are required;,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,115,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,.type Defines the Claims profiles…. .type SHALL NOT use a data absent reason.,SHALL NOT,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,116,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,.insurer  Same as insurance.coverage.organization.  Party responsible for reimbursing the provider,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,117,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,.outcome:  value = complete,SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,118,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields," .related:
+hl7.fhir.us.carin-bb_2.0.0,118,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".related:
 …
 If the current adjusts a prior ExplanationOfBenefit, .related.reference = the prior ExplanationOfBenefit identifier and related.relationship value = 'prior'.",SHALL,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,119,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".related:
 …
-If the current ExplanationOfBenefit has been adjusted; related.reference = the ExplanationOfBenefit.identifier of the adjusting ExplanationOfBenefit and related.relationship value = 'replacedby'. ",SHALL,Health Plan,,true
+If the current ExplanationOfBenefit has been adjusted; related.reference = the ExplanationOfBenefit.identifier of the adjusting ExplanationOfBenefit and related.relationship value = 'replacedby'.",SHALL,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,120,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".related:
 …
  The .related.reference contains the identifier of the immediately preceding or following ExplanationOfBenefit, not the first or last.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,121,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,.supportinginfo.sequence rule:  client app implementations should look-up supportingInfo elements based on category values instead of sequence values,SHOULD,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,122,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".careTeam.sequence rule:
 …
- Client app implementations SHOULD NOT assign any significance to the sequence values.   ",SHOULD NOT,Consumer,,false
+ Client app implementations SHOULD NOT assign any significance to the sequence values.",SHOULD NOT,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,123,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".insurance:
 …
 ExplanationOfBenefit.insurer MAY have a boolean value = 'True'",MAY,Health Plan,,false
@@ -227,7 +214,7 @@ hl7.fhir.us.carin-bb_2.0.0,127,http://hl7.org/fhir/us/carin-bb/STU2/StructureDef
 When focal = true, Coverage.payer--> Organization.identifier.",SHALL,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,128,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,".insurance.coverage:
 …
- When focal = false, EOB.insurance.coverage.display = [name of other carrier]  ",SHALL,Health Plan,,true
+ When focal = false, EOB.insurance.coverage.display = [name of other carrier]",SHALL,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,129,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit.html#notes-on-fields,insurance.coverage:  Same as insurance.coverage.organization.,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,130,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,"CPCDS data elements
 …
@@ -243,7 +230,7 @@ hl7.fhir.us.carin-bb_2.0.0,133,http://hl7.org/fhir/us/carin-bb/STU2/StructureDef
 The cardinality of the HL7 base EOB Resource for item.productOrService is 1..1 if .item is provided.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,134,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,"A CPT / HCPCS code may not be available
 …
-item.productOrService must be populated. ",SHALL,Health Plan,,false
+item.productOrService must be populated.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,135,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,"A CPT / HCPCS code may not be available
 …
 it is recommended payers provide a data absent reason when a CPT / HCPCS code is not available.",SHOULD,Health Plan,,false
@@ -253,10 +240,10 @@ hl7.fhir.us.carin-bb_2.0.0,137,http://hl7.org/fhir/us/carin-bb/STU2/StructureDef
 Client app implementations should not assign any significance to the sequence values.",SHOULD NOT,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,138,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,".diagnosis.sequence rule:
 …
-Client app implementations should use the values of diagnosis.type to identify primary, secondary, etc. ",SHOULD,Consumer,,false
+Client app implementations should use the values of diagnosis.type to identify primary, secondary, etc.",SHOULD,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,139,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,".procedure.sequence rule:
 …
-Client app implementations should not assign any significance to the sequence values. ",SHOULD NOT,Consumer,,false
+Client app implementations should not assign any significance to the sequence values.",SHOULD NOT,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,140,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,".procedure.sequence rule:
 …
 Client app implementations should use the values of procedure.type to identify primary and secondary procedures",SHOULD,Consumer,,false
@@ -265,36 +252,36 @@ hl7.fhir.us.carin-bb_2.0.0,142,http://hl7.org/fhir/us/carin-bb/STU2/StructureDef
 hl7.fhir.us.carin-bb_2.0.0,143,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,.total.amount:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,144,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,"CPCDS data elements
 …
-Line item amounts, amount types and the in network or out of network payment status of the line are to be provided in EOB.item. ",SHALL,Health Plan,,false
+Line item amounts, amount types and the in network or out of network payment status of the line are to be provided in EOB.item.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,145,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,"CPCDS data elements
 …
-Total amounts, amount types and the in network or out of network payment status of the claim are to be provided in EOB.total ",SHALL,Health Plan,,false
+Total amounts, amount types and the in network or out of network payment status of the claim are to be provided in EOB.total",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,146,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,"CPCDS data elements
 …
-If there is a mix of lines paid in network and out of network on a claim, the value of C4BB Payer Benefit Payment Status is ‘Other’ ",SHALL,Health Plan,,true
-hl7.fhir.us.carin-bb_2.0.0,147,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,".diagnosis.sequence rule:  diagnosis.sequence values do not necessarily indicate any order in which the diagnosis was reported or identified.  Client app implementations should not assign any significance to the sequence values.  Client app implementations should use the values of diagnosis.type to identify primary, secondary, etc. ",SHOULD NOT,Consumer,,false
+If there is a mix of lines paid in network and out of network on a claim, the value of C4BB Payer Benefit Payment Status is ‘Other’",SHALL,Health Plan,,true
+hl7.fhir.us.carin-bb_2.0.0,147,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,".diagnosis.sequence rule:  diagnosis.sequence values do not necessarily indicate any order in which the diagnosis was reported or identified.  Client app implementations should not assign any significance to the sequence values.  Client app implementations should use the values of diagnosis.type to identify primary, secondary, etc.",SHOULD NOT,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,148,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,".supportingInfo[servicefacility]:  Service Facility Location information conveys the name, full address and identifier of the facility where services were rendered when that is different from the Billing/Rendering Provider.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,149,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,.item. diagnosisSequence:  References the sequence number of the associated diagnosis entered above,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,150,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,.item.productOrService: CPT / HCPCS procedure codes are defined as CodeableConcepts: A revenue code will not be available on an oral claim,SHALL NOT,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,151,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,The line item primary body site (tooth or oral cavity) SHALL be specified in the .item.bodySite.,SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,152,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields, Additional body sites (tooth or oral cavity)  SHALL be specified in supportingInfo[additionalbodysite] repetitions with supportingInfo[additionalbodysite].sequence matching the line items .item.informationSequence,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,152,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,Additional body sites (tooth or oral cavity)  SHALL be specified in supportingInfo[additionalbodysite] repetitions with supportingInfo[additionalbodysite].sequence matching the line items .item.informationSequence,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,153,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,All Oral line item subsites (.item.subSite repetitions) apply to all the line item's associated tooth surfaces (item.bodySite and .supportingInfo[additionalbodysite] associated with the line item by referencing supportingInfo[additionalbodysite].sequence through .item.informationSequence),SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,154,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,.item.adjudication.amount:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,155,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html#notes-on-fields,.total.amount:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,156,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,"CPCDS data elements are mapped to EOB header or EOB.item data elements in alignment with claims submission standards.  ...  If a Payer does not have line item amounts, provide the claim amounts and amount types in the EOB header data elements. ",SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,156,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,"CPCDS data elements are mapped to EOB header or EOB.item data elements in alignment with claims submission standards.  ...  If a Payer does not have line item amounts, provide the claim amounts and amount types in the EOB header data elements.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,157,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,.item.productOrService:  CPT / HCPCS procedure codes are defined as CodeableConcepts,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,158,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,"A CPT / HCPCS or HIPPS code may not be available on an outpatient institutional claim.
 …
 The cardinality of the HL7 base EOB Resource for item.productOrService is 1..1 if .item is provided.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,159,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,"A CPT / HCPCS or HIPPS code may not be available on an outpatient institutional claim.
 …
-item.productOrService must be populated. ",SHALL,Health Plan,,false
+item.productOrService must be populated.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,160,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,"A CPT / HCPCS or HIPPS code may not be available on an outpatient institutional claim.
 …
 it is recommended payers provide a data absent reason when a CPT / HCPCS or HIPPS code is not available.",SHOULD,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,161,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Pharmacy.html,"ExplanationOfBenefit.item.productOrService:
 …
-values are NDC Codes when Compound Code (MapID 78) = 0 or 1. ",SHALL,Health Plan,,true
+values are NDC Codes when Compound Code (MapID 78) = 0 or 1.",SHALL,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,162,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Pharmacy.html,"ExplanationOfBenefit.item.productOrService:
 …
 When the Compound Code = 2, productOrService = ""compound"" and map the ingredient to ExplanationOfBenefit.item.detail.productOrService",SHALL,Health Plan,,true
@@ -305,11 +292,11 @@ populate for all Compound Code values.",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,165,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Pharmacy.html,"ExplanationOfBenefit.item.quantity:
 …
 When the Compound Code = 2, if available, map the ingredient to ExplanationOfBenefit.item.detail.quantity",SHALL,Health Plan,,true
-hl7.fhir.us.carin-bb_2.0.0,166,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,.diagnosis.sequence rule:  diagnosis.sequence values do not necessarily indicate any order in which the diagnosis was reported or identified.  Client app implementations should not assign any significance to the sequence values. ,SHOULD NOT,Consumer,,false
-hl7.fhir.us.carin-bb_2.0.0,167,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,".diagnosis.sequence rule:  diagnosis.sequence values do not necessarily indicate any order in which the diagnosis was reported or identified.  ...Client app implementations should use the values of diagnosis.type to identify primary, secondary, etc. ",SHOULD,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,166,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,.diagnosis.sequence rule:  diagnosis.sequence values do not necessarily indicate any order in which the diagnosis was reported or identified.  Client app implementations should not assign any significance to the sequence values.,SHOULD NOT,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,167,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,".diagnosis.sequence rule:  diagnosis.sequence values do not necessarily indicate any order in which the diagnosis was reported or identified.  ...Client app implementations should use the values of diagnosis.type to identify primary, secondary, etc.",SHOULD,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,168,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,.diagnosis.sequence:  sequentially numbers all diagnoses at the header-level. Item-level are referenced from an item using this sequence number,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,169,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,".supportingInfo[servicefacility]:  Service Facility Location information conveys the name, full address and identifier of the facility where services were rendered when that is different from the Billing/Rendering Provider.",SHOULD,Health Plan,,true
-hl7.fhir.us.carin-bb_2.0.0,170,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,.item. diagnosisSequence:  References the sequence number of the associated diagnosis entered above,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,170,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,.item.diagnosisSequence:  References the sequence number of the associated diagnosis entered above,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,171,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,".item.productOrService:   CPT / HCPCS procedure codes are defined as CodeableConcepts: A revenue code will not be available on a professional / non-clinician claim .
 …
 it is recommended payers provide a data absent reason for item.revenue.",SHOULD,Health Plan,,false
@@ -319,17 +306,25 @@ it is recommended payers provide a data absent reason when a CPT / HCPCS or code
 hl7.fhir.us.carin-bb_2.0.0,173,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,Every supportingInfo repetitions with a Transportation Services Category code need to be associated with at least one line item by referencing supportingInfo.sequence through .item.informationSequence.,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,174,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,item.adjudication[benefitpaymentstatus]:  in network or out of network payment status for the line,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,175,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Coverage.html#notes-on-fields,The Coverage Reference Resource shall be returned with data that was effective as of the date of service of the claim,SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,176,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Organization.html,Payers may decide to provide either the data that was in effect as of the date of service or the current data. ,MAY,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,176,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Organization.html,Payers may decide to provide either the data that was in effect as of the date of service or the current data.,MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,177,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Organization.html,.identifier[NPI]:  Value is conditional depending on the Referring Resource.  Populate Service Facility NPI with the value 'NPI has not been assigned' if an NPI has not been assigned to the Service Location Organization,SHALL,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,178,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Organization.html,".address:  Enter address of the location where the services were rendered.  If the location is a component of the Billing Provider, do not populate this data element",SHALL NOT,Health Plan,,true
 hl7.fhir.us.carin-bb_2.0.0,179,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Organization.html,".meta.lastUpdated: Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,180,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Organization.html,.meta.lastUpdated: ... Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service. ,SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,180,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Organization.html,.meta.lastUpdated: ... Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service.,SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,181,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Patient.html#notes-on-fields,The Member Id is the identifier payers assign to a beneficiary for a contract; it may be different for various lines of business; ie. QHP vs MA. The Unique Member Id is a mastered identifier across all lines of business.,SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,182,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Patient.html#notes-on-fields,Payers may decide to provide either the data that was in effect as of the date of service or the current data.,MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,183,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Patient.html#notes-on-fields,".meta.lastUpdated: Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,184,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Patient.html#notes-on-fields,.meta.lastUpdated: ... Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service. ,SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,184,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Patient.html#notes-on-fields,.meta.lastUpdated: ... Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service.,SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,185,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Practitioner.html#notes-on-fields,Payers may decide to provide either the data that was in effect as of the date of service or the current data.,MAY,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,186,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Practitioner.html#notes-on-fields,".identifier[NPI], .identifier[tax]: One of these identifiers must be provided",SHALL,Health Plan,,false
 hl7.fhir.us.carin-bb_2.0.0,187,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Practitioner.html#notes-on-fields,".meta.lastUpdated: Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last.",SHALL,Health Plan,,false
-hl7.fhir.us.carin-bb_2.0.0,188,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Practitioner.html#notes-on-fields,.meta.lastUpdated: … Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service. ,SHALL,Consumer,,false
+hl7.fhir.us.carin-bb_2.0.0,188,https://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-Practitioner.html#notes-on-fields,.meta.lastUpdated: … Apps will use the meta.lastUpdated value to determine if the Reference resources are as of the current date or date of service.,SHALL,Consumer,,false
 hl7.fhir.us.carin-bb_2.0.0,189,https://hl7.org/fhir/us/carin-bb/STU2/,COMPUTABLE REQUIREMENTS TBD,,Health Plan,,
+hl7.fhir.us.carin-bb_2.0.0,190,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,.adjudication.amount...:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,191,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html#notes-on-fields,.item.adjudication.amount:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,192,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,.total.amount:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,193,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,.adjudication.amount...:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,194,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,.item.adjudication.amount:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,195,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,.adjudication.amount...:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,196,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html#notes-on-fields,.item.adjudication.amount:  Eligible amount = submitted amount - the noncovered amount - discount.  The subscriber pays the member liability = deductible + coinsurance + copay + noncovered.  (part of the member liability may have already been paid to the provider as paidbypatient). The eligible amount - the member liability is the payment amount to the provider (paidtoprovider) or the subscriber (paidtopatient),SHALL,Health Plan,,false
+hl7.fhir.us.carin-bb_2.0.0,197,http://hl7.org/fhir/us/carin-bb/STU2/StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html#notes-on-fields,.adjudication.amount (populate only if item.adjudication is not available):,SHALL NOT,Health Plan,,true