carin_for_blue_button_test_kit 0.9.0 → 0.10.0

data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/eob_pharmacy/metadata.yml

@@ -0,0 +1,1002 @@
+---
+:name: C4BB_EOB_Pharmacy
+:class_name: C4bbExplanationofbenefitPharmacySequence
+:version: v1.1.0
+:reformatted_version: v110
+:resource: ExplanationOfBenefit
+:conformance_expectation: SHALL
+:profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Pharmacy
+:profile_name: C4BB ExplanationOfBenefit Pharmacy
+:profile_version: 1.1.0
+:title: ExplanationOfBenefit Pharmacy
+:short_description: Verify support for the server capabilities required by the C4BB
+  ExplanationOfBenefit Pharmacy.
+:interactions:
+- :code: search-type
+  :expectation: SHALL
+- :code: read
+  :expectation: SHALL
+:operations: []
+:searches:
+- :names:
+  - _id
+  :expectation: SHALL
+  :names_not_must_support_or_mandatory: []
+  :must_support_or_mandatory: true
+- :names:
+  - patient
+  :expectation: SHALL
+  :names_not_must_support_or_mandatory: []
+  :must_support_or_mandatory: true
+- :names:
+  - _lastUpdated
+  :expectation: SHALL
+  :names_not_must_support_or_mandatory: []
+  :must_support_or_mandatory: true
+- :names:
+  - type
+  :expectation: SHALL
+  :names_not_must_support_or_mandatory: []
+  :must_support_or_mandatory: true
+- :names:
+  - identifier
+  :expectation: SHALL
+  :names_not_must_support_or_mandatory: []
+  :must_support_or_mandatory: true
+- :names:
+  - service-date
+  :expectation: SHALL
+  :names_not_must_support_or_mandatory: []
+  :must_support_or_mandatory: true
+:search_definitions:
+  :_id:
+    :paths:
+    - id
+    :full_paths:
+    - ExplanationOfBenefit.id
+    :comparators: {}
+    :values: []
+    :type: http://hl7.org/fhirpath/System.String
+    :target_paths:
+    - :path: id
+      :target: []
+    :contains_multiple: false
+  :patient:
+    :paths:
+    - patient
+    :full_paths:
+    - ExplanationOfBenefit.patient
+    :comparators: {}
+    :values: []
+    :type: Reference
+    :target_paths:
+    - :path: patient
+      :target:
+      - Patient
+    :contains_multiple: false
+  :_lastUpdated:
+    :paths:
+    - meta.lastUpdated
+    :full_paths:
+    - ExplanationOfBenefit.meta.lastUpdated
+    :comparators:
+      :eq: MAY
+      :ne: MAY
+      :gt: MAY
+      :ge: MAY
+      :lt: MAY
+      :le: MAY
+      :sa: MAY
+      :eb: MAY
+      :ap: MAY
+    :values: []
+    :type: instant
+    :target_paths:
+    - :path: meta.lastUpdated
+      :target: []
+    :contains_multiple: false
+  :type:
+    :paths:
+    - type
+    :full_paths:
+    - ExplanationOfBenefit.type
+    :comparators: {}
+    :values:
+    - pharmacy
+    :type: CodeableConcept
+    :target_paths:
+    - :path: type
+      :target: []
+    :contains_multiple: false
+  :identifier:
+    :paths:
+    - identifier
+    :full_paths:
+    - ExplanationOfBenefit.identifier
+    :comparators: {}
+    :values: []
+    :type: Identifier
+    :target_paths:
+    - :path: identifier
+      :target: []
+    :contains_multiple: true
+  :service-date:
+    :paths:
+    - billablePeriod
+    - item.serviced
+    :full_paths:
+    - ExplanationOfBenefit.billablePeriod
+    - ExplanationOfBenefit.item.serviced
+    :comparators:
+      :eq: MAY
+      :ne: MAY
+      :gt: MAY
+      :ge: MAY
+      :lt: MAY
+      :le: MAY
+      :sa: MAY
+      :eb: MAY
+      :ap: MAY
+    :values: []
+    :type: Period
+    :target_paths:
+    - :path: billablePeriod
+      :target: &1 []
+    - :path: item.serviced
+      :target: *1
+    :contains_multiple: false
+  :provider:
+    :paths:
+    - provider
+    :full_paths:
+    - ExplanationOfBenefit.provider
+    :comparators: {}
+    :values: []
+    :type: Reference
+    :target_paths:
+    - :path: provider
+      :target:
+      - Practitioner
+      - Organization
+      - PractitionerRole
+    :contains_multiple: false
+  :care-team:
+    :paths:
+    - careTeam.provider
+    :full_paths:
+    - ExplanationOfBenefit.careTeam.provider
+    :comparators: {}
+    :values: []
+    :type: Reference
+    :target_paths:
+    - :path: careTeam.provider
+      :target:
+      - Practitioner
+      - Organization
+      - PractitionerRole
+    :contains_multiple: false
+  :coverage:
+    :paths:
+    - insurance.coverage
+    :full_paths:
+    - ExplanationOfBenefit.insurance.coverage
+    :comparators: {}
+    :values: []
+    :type: Reference
+    :target_paths:
+    - :path: insurance.coverage
+      :target:
+      - Coverage
+    :contains_multiple: false
+  :insurer:
+    :paths:
+    - insurer
+    :full_paths:
+    - ExplanationOfBenefit.insurer
+    :comparators: {}
+    :values: []
+    :type: Reference
+    :target_paths:
+    - :path: insurer
+      :target:
+      - Organization
+    :contains_multiple: false
+  :*:
+    :paths: []
+    :full_paths: []
+    :values: []
+    :target_paths: []
+    :contains_multiple: false
+:include_params:
+- ExplanationOfBenefit:patient
+- ExplanationOfBenefit:provider
+- ExplanationOfBenefit:care-team
+- ExplanationOfBenefit:coverage
+- ExplanationOfBenefit:insurer
+- ExplanationOfBenefit:*
+:revincludes: []
+:required_concepts:
+- type
+- priority
+- related.relationship
+- payee.type
+- careTeam.role
+- supportingInfo.code
+- supportingInfo.code
+- supportingInfo.code
+- supportingInfo.code
+- supportingInfo.code
+- item.productOrService
+- item.adjudication.category
+- item.adjudication.category
+- item.adjudication.reason
+- item.detail.productOrService
+- total.category
+- total.category
+- payment.type
+:must_supports:
+  :extensions: []
+  :slices:
+  - :name: ExplanationOfBenefit.supportingInfo:dayssupply
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: dayssupply
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.supportingInfo:dawcode
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: dawcode
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.supportingInfo:refillNum
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: refillnum
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: billingnetworkcontractingstatus
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.supportingInfo:brandgenericindicator
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: brandgenericindicator
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.supportingInfo:rxoriginCode
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: rxorigincode
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.supportingInfo:clmrecvddate
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: clmrecvddate
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.supportingInfo:compoundcode
+    :path: supportingInfo
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: compoundcode
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
+  - :name: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
+    :path: item.adjudication
+    :discriminator:
+      :type: requiredBinding
+      :path: category
+      :values:
+      - submitted
+      - copay
+      - eligible
+      - deductible
+      - benefit
+      - coinsurance
+      - noncovered
+      - priorpayerpaid
+      - paidbypatient
+      - paidtopatient
+      - paidtoprovider
+      - memberliability
+      - discount
+      - drugcost
+  - :name: ExplanationOfBenefit.item.adjudication:denialreason
+    :path: item.adjudication
+    :discriminator:
+      :type: patternCodeableConcept
+      :path: category
+      :code: denialreason
+      :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
+  - :name: ExplanationOfBenefit.total:adjudicationamounttype
+    :path: total
+    :discriminator:
+      :type: requiredBinding
+      :path: category
+      :values:
+      - submitted
+      - copay
+      - eligible
+      - deductible
+      - benefit
+      - coinsurance
+      - noncovered
+      - priorpayerpaid
+      - paidbypatient
+      - paidtopatient
+      - paidtoprovider
+      - memberliability
+      - discount
+      - drugcost
+  - :name: ExplanationOfBenefit.total:benefitpaymentstatus
+    :path: total
+    :discriminator:
+      :type: requiredBinding
+      :path: category
+      :values:
+      - innetwork
+      - outofnetwork
+      - other
+  :elements:
+  - :path: meta
+  - :path: meta.lastUpdated
+  - :path: identifier
+  - :path: identifier.type
+  - :path: status
+  - :path: type.coding.code
+    :fixed_value: pharmacy
+  - :path: use
+  - :path: patient
+    :types:
+    - Reference
+  - :path: billablePeriod
+  - :path: created
+  - :path: insurer
+    :types:
+    - Reference
+  - :path: provider
+    :types:
+    - Reference
+  - :path: related
+  - :path: related.relationship
+  - :path: related.reference
+  - :path: payee
+  - :path: payee.type
+  - :path: payee.party
+    :types:
+    - Reference
+  - :path: outcome
+  - :path: careTeam
+  - :path: careTeam.provider
+    :types:
+    - Reference
+  - :path: careTeam.role
+  - :path: supportingInfo
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: dayssupply
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: dawcode
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: refillnum
+  - :path: supportingInfo.value[x]
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: billingnetworkcontractingstatus
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: brandgenericindicator
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: rxorigincode
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: clmrecvddate
+  - :path: supportingInfo.timing[x]
+  - :path: supportingInfo.category.coding.code
+    :fixed_value: compoundcode
+  - :path: supportingInfo.code
+  - :path: insurance
+  - :path: insurance.focal
+  - :path: insurance.coverage
+    :types:
+    - Reference
+  - :path: item
+  - :path: item.sequence
+  - :path: item.productOrService
+  - :path: item.serviced[x]
+  - :path: item.quantity
+  - :path: item.noteNumber
+  - :path: item.adjudication
+  - :path: item.adjudication.category
+  - :path: item.adjudication.amount
+  - :path: item.adjudication.category.coding.code
+    :fixed_value: denialreason
+  - :path: item.adjudication.reason
+  - :path: item.detail
+  - :path: item.detail.productOrService
+  - :path: item.detail.quantity
+  - :path: total
+  - :path: total.category
+  - :path: total.amount
+  - :path: payment
+  - :path: payment.type
+  - :path: payment.date
+  - :path: processNote
+  - :path: processNote.text
+:mandatory_elements:
+- ExplanationOfBenefit.meta
+- ExplanationOfBenefit.meta.lastUpdated
+- ExplanationOfBenefit.meta.profile
+- ExplanationOfBenefit.identifier
+- ExplanationOfBenefit.identifier.type
+- ExplanationOfBenefit.status
+- ExplanationOfBenefit.type
+- ExplanationOfBenefit.use
+- ExplanationOfBenefit.patient
+- ExplanationOfBenefit.created
+- ExplanationOfBenefit.insurer
+- ExplanationOfBenefit.provider
+- ExplanationOfBenefit.related.relationship
+- ExplanationOfBenefit.related.reference
+- ExplanationOfBenefit.payee.type
+- ExplanationOfBenefit.payee.party
+- ExplanationOfBenefit.outcome
+- ExplanationOfBenefit.careTeam.sequence
+- ExplanationOfBenefit.careTeam.provider
+- ExplanationOfBenefit.careTeam.role
+- ExplanationOfBenefit.supportingInfo
+- ExplanationOfBenefit.supportingInfo.sequence
+- ExplanationOfBenefit.supportingInfo.category
+- ExplanationOfBenefit.supportingInfo.value[x]
+- ExplanationOfBenefit.supportingInfo.code
+- ExplanationOfBenefit.supportingInfo.timing[x]
+- ExplanationOfBenefit.diagnosis.sequence
+- ExplanationOfBenefit.diagnosis.diagnosis[x]
+- ExplanationOfBenefit.procedure.sequence
+- ExplanationOfBenefit.procedure.procedure[x]
+- ExplanationOfBenefit.insurance
+- ExplanationOfBenefit.insurance.focal
+- ExplanationOfBenefit.insurance.coverage
+- ExplanationOfBenefit.item.sequence
+- ExplanationOfBenefit.item.productOrService
+- ExplanationOfBenefit.item.adjudication
+- ExplanationOfBenefit.item.adjudication.category
+- ExplanationOfBenefit.item.adjudication.amount
+- ExplanationOfBenefit.item.adjudication.reason
+- ExplanationOfBenefit.item.detail.sequence
+- ExplanationOfBenefit.item.detail.productOrService
+- ExplanationOfBenefit.item.detail.subDetail.sequence
+- ExplanationOfBenefit.item.detail.subDetail.productOrService
+- ExplanationOfBenefit.addItem.productOrService
+- ExplanationOfBenefit.addItem.detail.productOrService
+- ExplanationOfBenefit.addItem.detail.subDetail.productOrService
+- ExplanationOfBenefit.total
+- ExplanationOfBenefit.total.category
+- ExplanationOfBenefit.total.amount
+- ExplanationOfBenefit.benefitBalance.category
+- ExplanationOfBenefit.benefitBalance.financial.type
+:bindings:
+- :type: Coding
+  :strength: extensible
+  :system: http://hl7.org/fhir/ValueSet/security-labels
+  :path: meta.security
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/common-tags
+  :path: meta.tag
+- :type: code
+  :strength: preferred
+  :system: http://hl7.org/fhir/ValueSet/languages
+  :path: language
+- :type: code
+  :strength: required
+  :system: http://hl7.org/fhir/ValueSet/identifier-use
+  :path: identifier.use
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType
+  :path: identifier.type
+- :type: code
+  :strength: required
+  :system: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
+  :path: status
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/ValueSet/claim-type
+  :path: type
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-subtype
+  :path: subType
+- :type: code
+  :strength: required
+  :system: http://hl7.org/fhir/ValueSet/claim-use
+  :path: use
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/ValueSet/process-priority
+  :path: priority
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/fundsreserve
+  :path: fundsReserveRequested
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/fundsreserve
+  :path: fundsReserve
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
+  :path: related.relationship
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
+  :path: payee.type
+- :type: code
+  :strength: required
+  :system: http://hl7.org/fhir/ValueSet/remittance-outcome
+  :path: outcome
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimPharmacyTeamRole
+  :path: careTeam.role
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/provider-qualification
+  :path: careTeam.qualification
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-exception
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-exception
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPDispensedAsWrittenOrProductSelectionCode
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-exception
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPBrandGenericIndicator
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPPrescriptionOriginCode
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-exception
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
+  :path: supportingInfo.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPCompoundCode
+  :path: supportingInfo.code
+- :type: Coding
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
+  :path: supportingInfo.reason
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/icd-10
+  :path: diagnosis.diagnosis
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-diagnosistype
+  :path: diagnosis.type
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
+  :path: diagnosis.onAdmission
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
+  :path: diagnosis.packageCode
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
+  :path: procedure.type
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
+  :path: procedure.procedure
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
+  :path: accident.type
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
+  :path: item.revenue
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
+  :path: item.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANDCOrCompound
+  :path: item.productOrService
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-modifiers
+  :path: item.modifier
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-program-code
+  :path: item.programCode
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/service-place
+  :path: item.location
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/tooth
+  :path: item.bodySite
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/surface
+  :path: item.subSite
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
+  :path: item.adjudication.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/adjudication-reason
+  :path: item.adjudication.reason
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
+  :path: item.adjudication.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/adjudication-reason
+  :path: item.adjudication.reason
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/adjudication
+  :path: item.adjudication.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPRejectCode
+  :path: item.adjudication.reason
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
+  :path: item.detail.revenue
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
+  :path: item.detail.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANationalDrugCode
+  :path: item.detail.productOrService
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-modifiers
+  :path: item.detail.modifier
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-program-code
+  :path: item.detail.programCode
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
+  :path: item.detail.subDetail.revenue
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
+  :path: item.detail.subDetail.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/service-uscls
+  :path: item.detail.subDetail.productOrService
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-modifiers
+  :path: item.detail.subDetail.modifier
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-program-code
+  :path: item.detail.subDetail.programCode
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/service-uscls
+  :path: addItem.productOrService
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-modifiers
+  :path: addItem.modifier
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-program-code
+  :path: addItem.programCode
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/service-place
+  :path: addItem.location
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/tooth
+  :path: addItem.bodySite
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/surface
+  :path: addItem.subSite
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/service-uscls
+  :path: addItem.detail.productOrService
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-modifiers
+  :path: addItem.detail.modifier
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/service-uscls
+  :path: addItem.detail.subDetail.productOrService
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/claim-modifiers
+  :path: addItem.detail.subDetail.modifier
+- :type: CodeableConcept
+  :strength: extensible
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
+  :path: total.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
+  :path: total.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
+  :path: total.category
+- :type: CodeableConcept
+  :strength: required
+  :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
+  :path: payment.type
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
+  :path: payment.adjustmentReason
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/forms
+  :path: formCode
+- :type: code
+  :strength: required
+  :system: http://hl7.org/fhir/ValueSet/note-type
+  :path: processNote.type
+- :type: CodeableConcept
+  :strength: preferred
+  :system: http://hl7.org/fhir/ValueSet/languages
+  :path: processNote.language
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
+  :path: benefitBalance.category
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/benefit-network
+  :path: benefitBalance.network
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/benefit-unit
+  :path: benefitBalance.unit
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/benefit-term
+  :path: benefitBalance.term
+- :type: CodeableConcept
+  :strength: example
+  :system: http://hl7.org/fhir/ValueSet/benefit-type
+  :path: benefitBalance.financial.type
+:references:
+- :path: ExplanationOfBenefit.identifier.assigner
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Organization
+- :path: ExplanationOfBenefit.patient
+  :profiles:
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
+- :path: ExplanationOfBenefit.enterer
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Practitioner
+  - http://hl7.org/fhir/StructureDefinition/PractitionerRole
+- :path: ExplanationOfBenefit.insurer
+  :profiles:
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
+- :path: ExplanationOfBenefit.provider
+  :profiles:
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
+- :path: ExplanationOfBenefit.related.claim
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Claim
+- :path: ExplanationOfBenefit.prescription
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/MedicationRequest
+  - http://hl7.org/fhir/StructureDefinition/VisionPrescription
+- :path: ExplanationOfBenefit.originalPrescription
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/MedicationRequest
+- :path: ExplanationOfBenefit.payee.party
+  :profiles:
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
+- :path: ExplanationOfBenefit.referral
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/ServiceRequest
+- :path: ExplanationOfBenefit.facility
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Location
+- :path: ExplanationOfBenefit.claim
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Claim
+- :path: ExplanationOfBenefit.claimResponse
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/ClaimResponse
+- :path: ExplanationOfBenefit.careTeam.provider
+  :profiles:
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
+- :path: ExplanationOfBenefit.procedure.udi
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Device
+- :path: ExplanationOfBenefit.insurance.coverage
+  :profiles:
+  - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
+- :path: ExplanationOfBenefit.item.udi
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Device
+- :path: ExplanationOfBenefit.item.encounter
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Encounter
+- :path: ExplanationOfBenefit.item.detail.udi
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Device
+- :path: ExplanationOfBenefit.item.detail.subDetail.udi
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Device
+- :path: ExplanationOfBenefit.addItem.provider
+  :profiles:
+  - http://hl7.org/fhir/StructureDefinition/Practitioner
+  - http://hl7.org/fhir/StructureDefinition/PractitionerRole
+  - http://hl7.org/fhir/StructureDefinition/Organization
+:tests:
+- :id: c4bb_v110_eob_pharmacy_patient_search_test
+  :file_name: patient_search_test.rb
+- :id: c4bb_v110_eob_pharmacy__id_search_test
+  :file_name: id_search_test.rb
+- :id: c4bb_v110_eob_pharmacy__lastUpdated_search_test
+  :file_name: lastupdated_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_type_search_test
+  :file_name: type_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_identifier_search_test
+  :file_name: identifier_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_service_date_search_test
+  :file_name: service_date_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_include_ExplanationOfBenefit_patient_search_test
+  :file_name: incl_patient_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_include_ExplanationOfBenefit_provider_search_test
+  :file_name: incl_provider_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_include_ExplanationOfBenefit_careteam_search_test
+  :file_name: incl_careteam_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_include_ExplanationOfBenefit_coverage_search_test
+  :file_name: incl_coverage_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_include_ExplanationOfBenefit_insurer_search_test
+  :file_name: incl_insurer_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_include_ExplanationOfBenefit_All_search_test
+  :file_name: incl_all_search_test.rb
+- :id: c4bb_v110_eob_pharmacy_read_test
+  :file_name: read_test.rb
+- :id: c4bb_v110_eob_pharmacy_validation_test
+  :file_name: validation_test.rb
+- :id: c4bb_v110_eob_pharmacy_must_support_test
+  :file_name: must_support_test.rb
+:id: c4bb_v110_eob_pharmacy
+:file_name: eob_pharmacy_group.rb
+:delayed_references:
+- :path: insurer
+  :resources:
+  - Organization
+- :path: provider
+  :resources:
+  - Organization
+  - Practitioner
+- :path: payee.party
+  :resources:
+  - Organization
+  - Practitioner
+- :path: careTeam.provider
+  :resources:
+  - Organization
+  - Practitioner
+- :path: insurance.coverage
+  :resources:
+  - Coverage