carin_for_blue_button_test_kit 0.9.0 → 0.9.1

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

@@ -0,0 +1,604 @@
+---
+:name: C4BB_ExplanationOfBenefit
+:class_name: C4bbExplanationofbenefitSequence
+:version: v1.1.0
+:reformatted_version: v110
+:resource: ExplanationOfBenefit
+:profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit
+:profile_name: C4BB Explanation Of Benefit
+:profile_version: 1.1.0
+:title: Explanation Of Benefit
+:short_description: Verify support for the server capabilities required by the C4BB
+  Explanation Of Benefit.
+:interactions:
+- :code: search-type
+  :expectation: SHALL
+- :code: read
+  :expectation: SHALL
+:operations: []
+:searches:
+- :names:
+  - _id
+  :expectation: SHALL
+- :names:
+  - patient
+  :expectation: SHALL
+- :names:
+  - _lastUpdated
+  :expectation: SHALL
+- :names:
+  - type
+  :expectation: SHALL
+- :names:
+  - identifier
+  :expectation: SHALL
+- :names:
+  - service-date
+  :expectation: SHALL
+:search_definitions:
+  :_id:
+    :paths: []
+    :full_paths: []
+    :values: []
+    :contains_multiple: false
+  :patient:
+    :paths:
+    - patient
+    :full_paths:
+    - ExplanationOfBenefit.patient
+    :comparators: {}
+    :values: []
+    :type: Reference
+    :contains_multiple: false
+  :_lastUpdated:
+    :paths: []
+    :full_paths: []
+    :values: []
+    :contains_multiple: false
+  :type:
+    :paths:
+    - type
+    :full_paths:
+    - ExplanationOfBenefit.type
+    :comparators: {}
+    :values:
+    - institutional
+    - oral
+    - pharmacy
+    - professional
+    - vision
+    :type: CodeableConcept
+    :contains_multiple: false
+  :identifier:
+    :paths:
+    - identifier
+    :full_paths:
+    - ExplanationOfBenefit.identifier
+    :comparators: {}
+    :values: []
+    :type: Identifier
+    :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: date
+    :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
+- payment.type
+:must_supports:
+  :extensions: []
+  :slices: []
+  :elements:
+  - :path: meta
+  - :path: meta.lastUpdated
+  - :path: identifier
+  - :path: identifier.type
+  - :path: status
+  - :path: type
+  - :path: use
+  - :path: patient
+    :types:
+    - Reference
+  - :path: billablePeriod
+  - :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: insurance
+  - :path: insurance.focal
+  - :path: insurance.coverage
+    :types:
+    - Reference
+  - :path: item
+  - :path: item.sequence
+  - :path: item.noteNumber
+  - :path: item.adjudication.category
+  - :path: total
+  - :path: payment
+  - :path: payment.type
+  - :path: processNote
+: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.supportingInfo.sequence
+- ExplanationOfBenefit.supportingInfo.category
+- 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.category
+- 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: example
+  :system: http://hl7.org/fhir/ValueSet/claim-careteamrole
+  :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: 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: example
+  :system: http://hl7.org/fhir/ValueSet/service-uscls
+  :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: example
+  :system: http://hl7.org/fhir/ValueSet/adjudication
+  :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/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: example
+  :system: http://hl7.org/fhir/ValueSet/service-uscls
+  :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: example
+  :system: http://hl7.org/fhir/ValueSet/adjudication
+  :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_explanation_of_benefit_read_test
+  :file_name: explanation_of_benefit_read_test.rb
+- :id: c4bb_v110_explanation_of_benefit_validation_test
+  :file_name: explanation_of_benefit_validation_test.rb
+- :id: c4bb_v110_explanation_of_benefit_must_support_test
+  :file_name: explanation_of_benefit_must_support_test.rb
+- :id: c4bb_v110_explanation_of_benefit__id_search_test
+  :file_name: explanation_of_benefit_id_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_patient_search_test
+  :file_name: explanation_of_benefit_patient_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit__lastUpdated_search_test
+  :file_name: explanation_of_benefit_lastupdated_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_type_search_test
+  :file_name: explanation_of_benefit_type_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_identifier_search_test
+  :file_name: explanation_of_benefit_identifier_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_service_date_search_test
+  :file_name: explanation_of_benefit_service_date_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_include_ExplanationOfBenefit_patient_search_test
+  :file_name: explanation_of_benefit_explanation_of_benefit_patient_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_include_ExplanationOfBenefit_provider_search_test
+  :file_name: explanation_of_benefit_explanation_of_benefit_provider_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_include_ExplanationOfBenefit_careteam_search_test
+  :file_name: explanation_of_benefit_explanation_of_benefit_careteam_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_include_ExplanationOfBenefit_coverage_search_test
+  :file_name: explanation_of_benefit_explanation_of_benefit_coverage_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_include_ExplanationOfBenefit_insurer_search_test
+  :file_name: explanation_of_benefit_explanation_of_benefit_insurer_search_test.rb
+- :id: c4bb_v110_explanation_of_benefit_include_ExplanationOfBenefit_All_search_test
+  :file_name: explanation_of_benefit_explanation_of_benefit_all_search_test.rb
+:id: c4bb_v110_explanation_of_benefit
+:file_name: explanation_of_benefit_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