carin_for_blue_button_test_kit 0.9.0 → 0.9.1

Sign up to get free protection for your applications and to get access to all the features.
Files changed (27) hide show
  1. checksums.yaml +4 -4
  2. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/coverage/metadata.yml +147 -0
  3. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit/metadata.yml +604 -0
  4. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_inpatient_institutional/metadata.yml +1025 -0
  5. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_outpatient_institutional/metadata.yml +975 -0
  6. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_pharmacy/metadata.yml +889 -0
  7. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_professional_non_clinician/metadata.yml +870 -0
  8. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/metadata.yml +4700 -0
  9. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/organization/metadata.yml +119 -0
  10. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/patient/metadata.yml +207 -0
  11. data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/practitioner/metadata.yml +95 -0
  12. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage/metadata.yml +173 -0
  13. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit/metadata.yml +682 -0
  14. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_inpatient_institutional/metadata.yml +1092 -0
  15. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_oral/metadata.yml +1066 -0
  16. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_outpatient_institutional/metadata.yml +1045 -0
  17. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_pharmacy/metadata.yml +996 -0
  18. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_professional_non_clinician/metadata.yml +1100 -0
  19. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/metadata.yml +6399 -0
  20. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization/metadata.yml +136 -0
  21. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient/metadata.yml +224 -0
  22. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner/metadata.yml +112 -0
  23. data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person/metadata.yml +101 -0
  24. data/lib/carin_for_blue_button_test_kit/igs/carin4bb-110.tgz +0 -0
  25. data/lib/carin_for_blue_button_test_kit/igs/carin4bb-200.tgz +0 -0
  26. data/lib/carin_for_blue_button_test_kit/version.rb +1 -1
  27. metadata +25 -1
data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_pharmacy/metadata.yml ADDED
@@ -0,0 +1,996 @@
1
+ ---
2
+ :name: C4BB_ExplanationOfBenefit_Pharmacy
3
+ :class_name: C4bbExplanationofbenefitPharmacySequence
4
+ :version: v2.0.0
5
+ :reformatted_version: v200
6
+ :resource: ExplanationOfBenefit
7
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Pharmacy
8
+ :profile_name: C4BB ExplanationOfBenefit Pharmacy
9
+ :profile_version: 2.0.0
10
+ :title: ExplanationOfBenefit Pharmacy
11
+ :short_description: Verify support for the server capabilities required by the C4BB
12
+ ExplanationOfBenefit Pharmacy.
13
+ :interactions:
14
+ - :code: search-type
15
+ :expectation: SHALL
16
+ - :code: read
17
+ :expectation: SHALL
18
+ - :code: vread
19
+ :expectation: SHOULD
20
+ :operations: []
21
+ :searches:
22
+ - :names:
23
+ - _id
24
+ :expectation: SHALL
25
+ - :names:
26
+ - patient
27
+ :expectation: SHALL
28
+ - :names:
29
+ - _lastUpdated
30
+ :expectation: SHALL
31
+ - :names:
32
+ - type
33
+ :expectation: SHALL
34
+ - :names:
35
+ - identifier
36
+ :expectation: SHALL
37
+ - :names:
38
+ - service-date
39
+ :expectation: SHALL
40
+ - :names:
41
+ - service-start-date
42
+ :expectation: SHALL
43
+ - :names:
44
+ - billable-period-start
45
+ :expectation: SHALL
46
+ :search_definitions:
47
+ :_id:
48
+ :paths: []
49
+ :full_paths: []
50
+ :values: []
51
+ :contains_multiple: false
52
+ :patient:
53
+ :paths:
54
+ - patient
55
+ :full_paths:
56
+ - ExplanationOfBenefit.patient
57
+ :comparators: {}
58
+ :values: []
59
+ :type: Reference
60
+ :contains_multiple: false
61
+ :_lastUpdated:
62
+ :paths: []
63
+ :full_paths: []
64
+ :values: []
65
+ :contains_multiple: false
66
+ :type:
67
+ :paths:
68
+ - type
69
+ :full_paths:
70
+ - ExplanationOfBenefit.type
71
+ :comparators: {}
72
+ :values:
73
+ - pharmacy
74
+ :type: CodeableConcept
75
+ :contains_multiple: false
76
+ :identifier:
77
+ :paths:
78
+ - identifier
79
+ :full_paths:
80
+ - ExplanationOfBenefit.identifier
81
+ :comparators: {}
82
+ :values: []
83
+ :type: Identifier
84
+ :contains_multiple: true
85
+ :service-date:
86
+ :paths:
87
+ - 'billablePeriod '
88
+ - " item.serviced"
89
+ :full_paths:
90
+ - 'ExplanationOfBenefit.billablePeriod '
91
+ - " ExplanationOfBenefit.item.serviced"
92
+ :comparators:
93
+ :eq: MAY
94
+ :ne: MAY
95
+ :gt: MAY
96
+ :ge: MAY
97
+ :lt: MAY
98
+ :le: MAY
99
+ :sa: MAY
100
+ :eb: MAY
101
+ :ap: MAY
102
+ :values: []
103
+ :type: date
104
+ :contains_multiple: false
105
+ :service-start-date:
106
+ :paths:
107
+ - 'billablePeriod.start '
108
+ - " item.servicedDate "
109
+ - " item.servicedPeriod.start"
110
+ :full_paths:
111
+ - 'ExplanationOfBenefit.billablePeriod.start '
112
+ - " ExplanationOfBenefit.item.servicedDate "
113
+ - " ExplanationOfBenefit.item.servicedPeriod.start"
114
+ :comparators:
115
+ :eq: MAY
116
+ :ne: MAY
117
+ :gt: MAY
118
+ :ge: MAY
119
+ :lt: MAY
120
+ :le: MAY
121
+ :sa: MAY
122
+ :eb: MAY
123
+ :ap: MAY
124
+ :values: []
125
+ :type: date
126
+ :contains_multiple: false
127
+ :billable-period-start:
128
+ :paths:
129
+ - billablePeriod.start
130
+ :full_paths:
131
+ - ExplanationOfBenefit.billablePeriod.start
132
+ :comparators:
133
+ :eq: MAY
134
+ :ne: MAY
135
+ :gt: MAY
136
+ :ge: MAY
137
+ :lt: MAY
138
+ :le: MAY
139
+ :sa: MAY
140
+ :eb: MAY
141
+ :ap: MAY
142
+ :values: []
143
+ :type: dateTime
144
+ :contains_multiple: false
145
+ :include_params:
146
+ - ExplanationOfBenefit:patient
147
+ - ExplanationOfBenefit:provider
148
+ - ExplanationOfBenefit:care-team
149
+ - ExplanationOfBenefit:coverage
150
+ - ExplanationOfBenefit:insurer
151
+ - ExplanationOfBenefit:payee
152
+ - ExplanationOfBenefit:*
153
+ :revincludes: []
154
+ :required_concepts:
155
+ - type
156
+ - priority
157
+ - related.relationship
158
+ - payee.type
159
+ - careTeam.role
160
+ - supportingInfo.code
161
+ - supportingInfo.code
162
+ - supportingInfo.code
163
+ - supportingInfo.code
164
+ - item.productOrService
165
+ - item.adjudication.category
166
+ - item.adjudication.reason
167
+ - item.detail.productOrService
168
+ - adjudication.reason
169
+ - adjudication.reason
170
+ - total.category
171
+ - payment.type
172
+ :must_supports:
173
+ :extensions: []
174
+ :slices:
175
+ - :name: ExplanationOfBenefit.identifier:uniqueclaimid
176
+ :path: identifier
177
+ :discriminator:
178
+ :type: patternCodeableConcept
179
+ :path: type
180
+ :code: uc
181
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
182
+ - :name: ExplanationOfBenefit.supportingInfo:dayssupply
183
+ :path: supportingInfo
184
+ :discriminator:
185
+ :type: patternCodeableConcept
186
+ :path: category
187
+ :code: dayssupply
188
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
189
+ - :name: ExplanationOfBenefit.supportingInfo:dawcode
190
+ :path: supportingInfo
191
+ :discriminator:
192
+ :type: patternCodeableConcept
193
+ :path: category
194
+ :code: dawcode
195
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
196
+ - :name: ExplanationOfBenefit.supportingInfo:refillNum
197
+ :path: supportingInfo
198
+ :discriminator:
199
+ :type: patternCodeableConcept
200
+ :path: category
201
+ :code: refillnum
202
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
203
+ - :name: ExplanationOfBenefit.supportingInfo:refillsAuthorized
204
+ :path: supportingInfo
205
+ :discriminator:
206
+ :type: patternCodeableConcept
207
+ :path: category
208
+ :code: refillsauthorized
209
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
210
+ - :name: ExplanationOfBenefit.supportingInfo:brandgenericindicator
211
+ :path: supportingInfo
212
+ :discriminator:
213
+ :type: patternCodeableConcept
214
+ :path: category
215
+ :code: brandgenericindicator
216
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
217
+ - :name: ExplanationOfBenefit.supportingInfo:rxoriginCode
218
+ :path: supportingInfo
219
+ :discriminator:
220
+ :type: patternCodeableConcept
221
+ :path: category
222
+ :code: rxorigincode
223
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
224
+ - :name: ExplanationOfBenefit.supportingInfo:clmrecvddate
225
+ :path: supportingInfo
226
+ :discriminator:
227
+ :type: patternCodeableConcept
228
+ :path: category
229
+ :code: clmrecvddate
230
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
231
+ - :name: ExplanationOfBenefit.supportingInfo:compoundcode
232
+ :path: supportingInfo
233
+ :discriminator:
234
+ :type: patternCodeableConcept
235
+ :path: category
236
+ :code: compoundcode
237
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
238
+ - :name: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
239
+ :path: item.adjudication
240
+ :discriminator:
241
+ :type: requiredBinding
242
+ :path: category
243
+ :values:
244
+ - submitted
245
+ - copay
246
+ - eligible
247
+ - deductible
248
+ - benefit
249
+ - coinsurance
250
+ - noncovered
251
+ - priorpayerpaid
252
+ - paidbypatient
253
+ - paidbypatientcash
254
+ - paidbypatientother
255
+ - paidtopatient
256
+ - paidtoprovider
257
+ - memberliability
258
+ - discount
259
+ - drugcost
260
+ - :name: ExplanationOfBenefit.item.adjudication:rejectreason
261
+ :path: item.adjudication
262
+ :discriminator:
263
+ :type: patternCodeableConcept
264
+ :path: category
265
+ :code: rejectreason
266
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
267
+ - :name: ExplanationOfBenefit.adjudication:billingnetworkstatus
268
+ :path: adjudication
269
+ :discriminator:
270
+ :type: patternCodeableConcept
271
+ :path: category
272
+ :code: billingnetworkstatus
273
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
274
+ - :name: ExplanationOfBenefit.adjudication:benefitpaymentstatus
275
+ :path: adjudication
276
+ :discriminator:
277
+ :type: patternCodeableConcept
278
+ :path: category
279
+ :code: benefitpaymentstatus
280
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
281
+ - :name: ExplanationOfBenefit.total:adjudicationamounttype
282
+ :path: total
283
+ :discriminator:
284
+ :type: requiredBinding
285
+ :path: category
286
+ :values:
287
+ - submitted
288
+ - copay
289
+ - eligible
290
+ - deductible
291
+ - benefit
292
+ - coinsurance
293
+ - noncovered
294
+ - priorpayerpaid
295
+ - paidbypatient
296
+ - paidbypatientcash
297
+ - paidbypatientother
298
+ - paidtopatient
299
+ - paidtoprovider
300
+ - memberliability
301
+ - discount
302
+ - drugcost
303
+ - :name: ExplanationOfBenefit.item.serviced[x]:servicedDate
304
+ :path: item.serviced[x]
305
+ :discriminator:
306
+ :type: type
307
+ :code: Date
308
+ :elements:
309
+ - :path: meta
310
+ - :path: meta.lastUpdated
311
+ - :path: identifier
312
+ - :path: identifier.value
313
+ - :path: status
314
+ - :path: type.coding.code
315
+ :fixed_value: pharmacy
316
+ - :path: use
317
+ - :path: patient
318
+ :types:
319
+ - Reference
320
+ - :path: billablePeriod
321
+ - :path: billablePeriod.start
322
+ - :path: created
323
+ - :path: insurer
324
+ :types:
325
+ - Reference
326
+ - :path: provider
327
+ :types:
328
+ - Reference
329
+ - :path: related
330
+ - :path: related.relationship
331
+ - :path: related.reference
332
+ - :path: payee
333
+ - :path: payee.type
334
+ - :path: payee.party
335
+ :types:
336
+ - Reference
337
+ - :path: outcome
338
+ - :path: careTeam
339
+ - :path: careTeam.provider
340
+ :types:
341
+ - Reference
342
+ - :path: careTeam.role
343
+ - :path: supportingInfo
344
+ - :path: supportingInfo.category.coding.code
345
+ :fixed_value: dayssupply
346
+ - :path: supportingInfo.category.coding.code
347
+ :fixed_value: dawcode
348
+ - :path: supportingInfo.category.coding.code
349
+ :fixed_value: refillnum
350
+ - :path: supportingInfo.category.coding.code
351
+ :fixed_value: refillsauthorized
352
+ - :path: supportingInfo.value[x]
353
+ - :path: supportingInfo.category.coding.code
354
+ :fixed_value: brandgenericindicator
355
+ - :path: supportingInfo.category.coding.code
356
+ :fixed_value: rxorigincode
357
+ - :path: supportingInfo.category.coding.code
358
+ :fixed_value: clmrecvddate
359
+ - :path: supportingInfo.timing[x]
360
+ - :path: supportingInfo.category.coding.code
361
+ :fixed_value: compoundcode
362
+ - :path: supportingInfo.code
363
+ - :path: insurance
364
+ - :path: insurance.focal
365
+ - :path: insurance.coverage
366
+ :types:
367
+ - Reference
368
+ - :path: item
369
+ - :path: item.sequence
370
+ - :path: item.productOrService
371
+ - :path: item.quantity
372
+ - :path: item.noteNumber
373
+ - :path: item.adjudication
374
+ - :path: item.adjudication.category
375
+ - :path: item.adjudication.amount
376
+ - :path: item.adjudication.category.coding.code
377
+ :fixed_value: rejectreason
378
+ - :path: item.adjudication.reason
379
+ - :path: item.detail
380
+ - :path: item.detail.productOrService
381
+ - :path: item.detail.quantity
382
+ - :path: adjudication
383
+ - :path: adjudication.category
384
+ - :path: adjudication.reason
385
+ - :path: total
386
+ - :path: total.category
387
+ - :path: total.amount
388
+ - :path: payment
389
+ - :path: payment.type
390
+ - :path: payment.date
391
+ - :path: processNote
392
+ - :path: processNote.text
393
+ :mandatory_elements:
394
+ - ExplanationOfBenefit.meta
395
+ - ExplanationOfBenefit.meta.lastUpdated
396
+ - ExplanationOfBenefit.meta.profile
397
+ - ExplanationOfBenefit.identifier
398
+ - ExplanationOfBenefit.identifier.type
399
+ - ExplanationOfBenefit.identifier.value
400
+ - ExplanationOfBenefit.status
401
+ - ExplanationOfBenefit.type
402
+ - ExplanationOfBenefit.use
403
+ - ExplanationOfBenefit.patient
404
+ - ExplanationOfBenefit.billablePeriod
405
+ - ExplanationOfBenefit.billablePeriod.start
406
+ - ExplanationOfBenefit.created
407
+ - ExplanationOfBenefit.insurer
408
+ - ExplanationOfBenefit.provider
409
+ - ExplanationOfBenefit.related.relationship
410
+ - ExplanationOfBenefit.related.reference
411
+ - ExplanationOfBenefit.payee.type
412
+ - ExplanationOfBenefit.outcome
413
+ - ExplanationOfBenefit.careTeam.sequence
414
+ - ExplanationOfBenefit.careTeam.provider
415
+ - ExplanationOfBenefit.careTeam.role
416
+ - ExplanationOfBenefit.supportingInfo
417
+ - ExplanationOfBenefit.supportingInfo.sequence
418
+ - ExplanationOfBenefit.supportingInfo.category
419
+ - ExplanationOfBenefit.supportingInfo.value[x]
420
+ - ExplanationOfBenefit.supportingInfo.code
421
+ - ExplanationOfBenefit.supportingInfo.timing[x]
422
+ - ExplanationOfBenefit.diagnosis.sequence
423
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
424
+ - ExplanationOfBenefit.procedure.sequence
425
+ - ExplanationOfBenefit.procedure.procedure[x]
426
+ - ExplanationOfBenefit.insurance
427
+ - ExplanationOfBenefit.insurance.focal
428
+ - ExplanationOfBenefit.insurance.coverage
429
+ - ExplanationOfBenefit.item
430
+ - ExplanationOfBenefit.item.sequence
431
+ - ExplanationOfBenefit.item.productOrService
432
+ - ExplanationOfBenefit.item.serviced[x]
433
+ - ExplanationOfBenefit.item.adjudication
434
+ - ExplanationOfBenefit.item.adjudication.category
435
+ - ExplanationOfBenefit.item.adjudication.amount
436
+ - ExplanationOfBenefit.item.adjudication.reason
437
+ - ExplanationOfBenefit.item.detail.sequence
438
+ - ExplanationOfBenefit.item.detail.productOrService
439
+ - ExplanationOfBenefit.item.detail.subDetail.sequence
440
+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
441
+ - ExplanationOfBenefit.addItem.productOrService
442
+ - ExplanationOfBenefit.addItem.detail.productOrService
443
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
444
+ - ExplanationOfBenefit.adjudication
445
+ - ExplanationOfBenefit.adjudication.category
446
+ - ExplanationOfBenefit.adjudication.reason
447
+ - ExplanationOfBenefit.total
448
+ - ExplanationOfBenefit.total.category
449
+ - ExplanationOfBenefit.total.amount
450
+ - ExplanationOfBenefit.benefitBalance.category
451
+ - ExplanationOfBenefit.benefitBalance.financial.type
452
+ :bindings:
453
+ - :type: Coding
454
+ :strength: extensible
455
+ :system: http://hl7.org/fhir/ValueSet/security-labels
456
+ :path: meta.security
457
+ - :type: Coding
458
+ :strength: example
459
+ :system: http://hl7.org/fhir/ValueSet/common-tags
460
+ :path: meta.tag
461
+ - :type: code
462
+ :strength: preferred
463
+ :system: http://hl7.org/fhir/ValueSet/languages
464
+ :path: language
465
+ - :type: code
466
+ :strength: required
467
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
468
+ :path: identifier.use
469
+ - :type: CodeableConcept
470
+ :strength: extensible
471
+ :system: http://hl7.org/fhir/ValueSet/identifier-type
472
+ :path: identifier.type
473
+ - :type: code
474
+ :strength: required
475
+ :system: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
476
+ :path: status
477
+ - :type: CodeableConcept
478
+ :strength: required
479
+ :system: http://hl7.org/fhir/ValueSet/claim-type
480
+ :path: type
481
+ - :type: CodeableConcept
482
+ :strength: example
483
+ :system: http://hl7.org/fhir/ValueSet/claim-subtype
484
+ :path: subType
485
+ - :type: code
486
+ :strength: required
487
+ :system: http://hl7.org/fhir/ValueSet/claim-use
488
+ :path: use
489
+ - :type: CodeableConcept
490
+ :strength: required
491
+ :system: http://hl7.org/fhir/ValueSet/process-priority
492
+ :path: priority
493
+ - :type: CodeableConcept
494
+ :strength: example
495
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
496
+ :path: fundsReserveRequested
497
+ - :type: CodeableConcept
498
+ :strength: example
499
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
500
+ :path: fundsReserve
501
+ - :type: CodeableConcept
502
+ :strength: required
503
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
504
+ :path: related.relationship
505
+ - :type: CodeableConcept
506
+ :strength: required
507
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
508
+ :path: payee.type
509
+ - :type: code
510
+ :strength: required
511
+ :system: http://hl7.org/fhir/ValueSet/remittance-outcome
512
+ :path: outcome
513
+ - :type: CodeableConcept
514
+ :strength: required
515
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimPharmacyTeamRole
516
+ :path: careTeam.role
517
+ - :type: CodeableConcept
518
+ :strength: example
519
+ :system: http://hl7.org/fhir/ValueSet/provider-qualification
520
+ :path: careTeam.qualification
521
+ - :type: CodeableConcept
522
+ :strength: extensible
523
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
524
+ :path: supportingInfo.category
525
+ - :type: CodeableConcept
526
+ :strength: example
527
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
528
+ :path: supportingInfo.code
529
+ - :type: Coding
530
+ :strength: example
531
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
532
+ :path: supportingInfo.reason
533
+ - :type: CodeableConcept
534
+ :strength: extensible
535
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
536
+ :path: supportingInfo.category
537
+ - :type: CodeableConcept
538
+ :strength: example
539
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
540
+ :path: supportingInfo.code
541
+ - :type: Coding
542
+ :strength: example
543
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
544
+ :path: supportingInfo.reason
545
+ - :type: CodeableConcept
546
+ :strength: extensible
547
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
548
+ :path: supportingInfo.category
549
+ - :type: CodeableConcept
550
+ :strength: required
551
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPDispensedAsWrittenOrProductSelectionCode
552
+ :path: supportingInfo.code
553
+ - :type: Coding
554
+ :strength: example
555
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
556
+ :path: supportingInfo.reason
557
+ - :type: CodeableConcept
558
+ :strength: extensible
559
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
560
+ :path: supportingInfo.category
561
+ - :type: CodeableConcept
562
+ :strength: example
563
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
564
+ :path: supportingInfo.code
565
+ - :type: Coding
566
+ :strength: example
567
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
568
+ :path: supportingInfo.reason
569
+ - :type: CodeableConcept
570
+ :strength: extensible
571
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
572
+ :path: supportingInfo.category
573
+ - :type: CodeableConcept
574
+ :strength: example
575
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
576
+ :path: supportingInfo.code
577
+ - :type: Coding
578
+ :strength: example
579
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
580
+ :path: supportingInfo.reason
581
+ - :type: CodeableConcept
582
+ :strength: extensible
583
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
584
+ :path: supportingInfo.category
585
+ - :type: CodeableConcept
586
+ :strength: required
587
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPBrandGenericIndicator
588
+ :path: supportingInfo.code
589
+ - :type: Coding
590
+ :strength: example
591
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
592
+ :path: supportingInfo.reason
593
+ - :type: CodeableConcept
594
+ :strength: extensible
595
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
596
+ :path: supportingInfo.category
597
+ - :type: CodeableConcept
598
+ :strength: required
599
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPPrescriptionOriginCode
600
+ :path: supportingInfo.code
601
+ - :type: Coding
602
+ :strength: example
603
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
604
+ :path: supportingInfo.reason
605
+ - :type: CodeableConcept
606
+ :strength: extensible
607
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
608
+ :path: supportingInfo.category
609
+ - :type: CodeableConcept
610
+ :strength: example
611
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
612
+ :path: supportingInfo.code
613
+ - :type: Coding
614
+ :strength: example
615
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
616
+ :path: supportingInfo.reason
617
+ - :type: CodeableConcept
618
+ :strength: extensible
619
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
620
+ :path: supportingInfo.category
621
+ - :type: CodeableConcept
622
+ :strength: required
623
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPCompoundCode
624
+ :path: supportingInfo.code
625
+ - :type: Coding
626
+ :strength: example
627
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
628
+ :path: supportingInfo.reason
629
+ - :type: CodeableConcept
630
+ :strength: example
631
+ :system: http://hl7.org/fhir/ValueSet/icd-10
632
+ :path: diagnosis.diagnosis
633
+ - :type: CodeableConcept
634
+ :strength: example
635
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosistype
636
+ :path: diagnosis.type
637
+ - :type: CodeableConcept
638
+ :strength: example
639
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
640
+ :path: diagnosis.onAdmission
641
+ - :type: CodeableConcept
642
+ :strength: example
643
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
644
+ :path: diagnosis.packageCode
645
+ - :type: CodeableConcept
646
+ :strength: example
647
+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
648
+ :path: procedure.type
649
+ - :type: CodeableConcept
650
+ :strength: example
651
+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
652
+ :path: procedure.procedure
653
+ - :type: CodeableConcept
654
+ :strength: extensible
655
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
656
+ :path: accident.type
657
+ - :type: CodeableConcept
658
+ :strength: example
659
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
660
+ :path: item.revenue
661
+ - :type: CodeableConcept
662
+ :strength: example
663
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
664
+ :path: item.category
665
+ - :type: CodeableConcept
666
+ :strength: required
667
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANDCOrCompound
668
+ :path: item.productOrService
669
+ - :type: CodeableConcept
670
+ :strength: example
671
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
672
+ :path: item.modifier
673
+ - :type: CodeableConcept
674
+ :strength: example
675
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
676
+ :path: item.programCode
677
+ - :type: CodeableConcept
678
+ :strength: example
679
+ :system: http://hl7.org/fhir/ValueSet/service-place
680
+ :path: item.location
681
+ - :type: CodeableConcept
682
+ :strength: example
683
+ :system: http://hl7.org/fhir/ValueSet/tooth
684
+ :path: item.bodySite
685
+ - :type: CodeableConcept
686
+ :strength: example
687
+ :system: http://hl7.org/fhir/ValueSet/surface
688
+ :path: item.subSite
689
+ - :type: CodeableConcept
690
+ :strength: extensible
691
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
692
+ :path: item.adjudication.category
693
+ - :type: CodeableConcept
694
+ :strength: example
695
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
696
+ :path: item.adjudication.reason
697
+ - :type: CodeableConcept
698
+ :strength: required
699
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
700
+ :path: item.adjudication.category
701
+ - :type: CodeableConcept
702
+ :strength: example
703
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
704
+ :path: item.adjudication.reason
705
+ - :type: CodeableConcept
706
+ :strength: example
707
+ :system: http://hl7.org/fhir/ValueSet/adjudication
708
+ :path: item.adjudication.category
709
+ - :type: CodeableConcept
710
+ :strength: required
711
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPRejectCode
712
+ :path: item.adjudication.reason
713
+ - :type: CodeableConcept
714
+ :strength: example
715
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
716
+ :path: item.detail.revenue
717
+ - :type: CodeableConcept
718
+ :strength: example
719
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
720
+ :path: item.detail.category
721
+ - :type: CodeableConcept
722
+ :strength: required
723
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANationalDrugCode
724
+ :path: item.detail.productOrService
725
+ - :type: CodeableConcept
726
+ :strength: example
727
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
728
+ :path: item.detail.modifier
729
+ - :type: CodeableConcept
730
+ :strength: example
731
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
732
+ :path: item.detail.programCode
733
+ - :type: CodeableConcept
734
+ :strength: example
735
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
736
+ :path: item.detail.subDetail.revenue
737
+ - :type: CodeableConcept
738
+ :strength: example
739
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
740
+ :path: item.detail.subDetail.category
741
+ - :type: CodeableConcept
742
+ :strength: example
743
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
744
+ :path: item.detail.subDetail.productOrService
745
+ - :type: CodeableConcept
746
+ :strength: example
747
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
748
+ :path: item.detail.subDetail.modifier
749
+ - :type: CodeableConcept
750
+ :strength: example
751
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
752
+ :path: item.detail.subDetail.programCode
753
+ - :type: CodeableConcept
754
+ :strength: example
755
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
756
+ :path: addItem.productOrService
757
+ - :type: CodeableConcept
758
+ :strength: example
759
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
760
+ :path: addItem.modifier
761
+ - :type: CodeableConcept
762
+ :strength: example
763
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
764
+ :path: addItem.programCode
765
+ - :type: CodeableConcept
766
+ :strength: example
767
+ :system: http://hl7.org/fhir/ValueSet/service-place
768
+ :path: addItem.location
769
+ - :type: CodeableConcept
770
+ :strength: example
771
+ :system: http://hl7.org/fhir/ValueSet/tooth
772
+ :path: addItem.bodySite
773
+ - :type: CodeableConcept
774
+ :strength: example
775
+ :system: http://hl7.org/fhir/ValueSet/surface
776
+ :path: addItem.subSite
777
+ - :type: CodeableConcept
778
+ :strength: example
779
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
780
+ :path: addItem.detail.productOrService
781
+ - :type: CodeableConcept
782
+ :strength: example
783
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
784
+ :path: addItem.detail.modifier
785
+ - :type: CodeableConcept
786
+ :strength: example
787
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
788
+ :path: addItem.detail.subDetail.productOrService
789
+ - :type: CodeableConcept
790
+ :strength: example
791
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
792
+ :path: addItem.detail.subDetail.modifier
793
+ - :type: CodeableConcept
794
+ :strength: extensible
795
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
796
+ :path: adjudication.category
797
+ - :type: CodeableConcept
798
+ :strength: example
799
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
800
+ :path: adjudication.reason
801
+ - :type: CodeableConcept
802
+ :strength: example
803
+ :system: http://hl7.org/fhir/ValueSet/adjudication
804
+ :path: adjudication.category
805
+ - :type: CodeableConcept
806
+ :strength: required
807
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderNetworkStatus
808
+ :path: adjudication.reason
809
+ - :type: CodeableConcept
810
+ :strength: example
811
+ :system: http://hl7.org/fhir/ValueSet/adjudication
812
+ :path: adjudication.category
813
+ - :type: CodeableConcept
814
+ :strength: required
815
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
816
+ :path: adjudication.reason
817
+ - :type: CodeableConcept
818
+ :strength: extensible
819
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
820
+ :path: total.category
821
+ - :type: CodeableConcept
822
+ :strength: required
823
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
824
+ :path: total.category
825
+ - :type: CodeableConcept
826
+ :strength: required
827
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
828
+ :path: payment.type
829
+ - :type: CodeableConcept
830
+ :strength: example
831
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
832
+ :path: payment.adjustmentReason
833
+ - :type: CodeableConcept
834
+ :strength: example
835
+ :system: http://hl7.org/fhir/ValueSet/forms
836
+ :path: formCode
837
+ - :type: code
838
+ :strength: required
839
+ :system: http://hl7.org/fhir/ValueSet/note-type
840
+ :path: processNote.type
841
+ - :type: CodeableConcept
842
+ :strength: preferred
843
+ :system: http://hl7.org/fhir/ValueSet/languages
844
+ :path: processNote.language
845
+ - :type: CodeableConcept
846
+ :strength: example
847
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
848
+ :path: benefitBalance.category
849
+ - :type: CodeableConcept
850
+ :strength: example
851
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
852
+ :path: benefitBalance.network
853
+ - :type: CodeableConcept
854
+ :strength: example
855
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
856
+ :path: benefitBalance.unit
857
+ - :type: CodeableConcept
858
+ :strength: example
859
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
860
+ :path: benefitBalance.term
861
+ - :type: CodeableConcept
862
+ :strength: example
863
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
864
+ :path: benefitBalance.financial.type
865
+ :references:
866
+ - :path: ExplanationOfBenefit.identifier.assigner
867
+ :profiles:
868
+ - http://hl7.org/fhir/StructureDefinition/Organization
869
+ - :path: ExplanationOfBenefit.patient
870
+ :profiles:
871
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
872
+ - :path: ExplanationOfBenefit.enterer
873
+ :profiles:
874
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
875
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
876
+ - :path: ExplanationOfBenefit.insurer
877
+ :profiles:
878
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
879
+ - :path: ExplanationOfBenefit.provider
880
+ :profiles:
881
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
882
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
883
+ - :path: ExplanationOfBenefit.related.claim
884
+ :profiles:
885
+ - http://hl7.org/fhir/StructureDefinition/Claim
886
+ - :path: ExplanationOfBenefit.prescription
887
+ :profiles:
888
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
889
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
890
+ - :path: ExplanationOfBenefit.originalPrescription
891
+ :profiles:
892
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
893
+ - :path: ExplanationOfBenefit.payee.party
894
+ :profiles:
895
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
896
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
897
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
898
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-RelatedPerson
899
+ - :path: ExplanationOfBenefit.referral
900
+ :profiles:
901
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
902
+ - :path: ExplanationOfBenefit.facility
903
+ :profiles:
904
+ - http://hl7.org/fhir/StructureDefinition/Location
905
+ - :path: ExplanationOfBenefit.claim
906
+ :profiles:
907
+ - http://hl7.org/fhir/StructureDefinition/Claim
908
+ - :path: ExplanationOfBenefit.claimResponse
909
+ :profiles:
910
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
911
+ - :path: ExplanationOfBenefit.careTeam.provider
912
+ :profiles:
913
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
914
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
915
+ - :path: ExplanationOfBenefit.procedure.udi
916
+ :profiles:
917
+ - http://hl7.org/fhir/StructureDefinition/Device
918
+ - :path: ExplanationOfBenefit.insurance.coverage
919
+ :profiles:
920
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
921
+ - :path: ExplanationOfBenefit.item.udi
922
+ :profiles:
923
+ - http://hl7.org/fhir/StructureDefinition/Device
924
+ - :path: ExplanationOfBenefit.item.encounter
925
+ :profiles:
926
+ - http://hl7.org/fhir/StructureDefinition/Encounter
927
+ - :path: ExplanationOfBenefit.item.detail.udi
928
+ :profiles:
929
+ - http://hl7.org/fhir/StructureDefinition/Device
930
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
931
+ :profiles:
932
+ - http://hl7.org/fhir/StructureDefinition/Device
933
+ - :path: ExplanationOfBenefit.addItem.provider
934
+ :profiles:
935
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
936
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
937
+ - http://hl7.org/fhir/StructureDefinition/Organization
938
+ :tests:
939
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_read_test
940
+ :file_name: explanation_of_benefit_pharmacy_read_test.rb
941
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_validation_test
942
+ :file_name: explanation_of_benefit_pharmacy_validation_test.rb
943
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_must_support_test
944
+ :file_name: explanation_of_benefit_pharmacy_must_support_test.rb
945
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy__id_search_test
946
+ :file_name: explanation_of_benefit_pharmacy_id_search_test.rb
947
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_patient_search_test
948
+ :file_name: explanation_of_benefit_pharmacy_patient_search_test.rb
949
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy__lastUpdated_search_test
950
+ :file_name: explanation_of_benefit_pharmacy_lastupdated_search_test.rb
951
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_type_search_test
952
+ :file_name: explanation_of_benefit_pharmacy_type_search_test.rb
953
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_identifier_search_test
954
+ :file_name: explanation_of_benefit_pharmacy_identifier_search_test.rb
955
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_service_date_search_test
956
+ :file_name: explanation_of_benefit_pharmacy_service_date_search_test.rb
957
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_service_start_date_search_test
958
+ :file_name: explanation_of_benefit_pharmacy_service_start_date_search_test.rb
959
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_billable_period_start_search_test
960
+ :file_name: explanation_of_benefit_pharmacy_billable_period_start_search_test.rb
961
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_patient_search_test
962
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_patient_search_test.rb
963
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_provider_search_test
964
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_provider_search_test.rb
965
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_careteam_search_test
966
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_careteam_search_test.rb
967
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_coverage_search_test
968
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_coverage_search_test.rb
969
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_insurer_search_test
970
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_insurer_search_test.rb
971
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_payee_search_test
972
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_payee_search_test.rb
973
+ - :id: c4bb_v200_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_All_search_test
974
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_all_search_test.rb
975
+ :id: c4bb_v200_explanation_of_benefit_pharmacy
976
+ :file_name: explanation_of_benefit_pharmacy_group.rb
977
+ :delayed_references:
978
+ - :path: insurer
979
+ :resources:
980
+ - Organization
981
+ - :path: provider
982
+ :resources:
983
+ - Organization
984
+ - Practitioner
985
+ - :path: payee.party
986
+ :resources:
987
+ - Organization
988
+ - Practitioner
989
+ - RelatedPerson
990
+ - :path: careTeam.provider
991
+ :resources:
992
+ - Organization
993
+ - Practitioner
994
+ - :path: insurance.coverage
995
+ :resources:
996
+ - Coverage