carin_for_blue_button_test_kit 0.9.0 → 0.9.1

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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
@@ -0,0 +1,975 @@
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+ ---
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+ :name: C4BB_ExplanationOfBenefit_Outpatient_Institutional
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+ :class_name: C4bbExplanationofbenefitOutpatientInstitutionalSequence
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+ :version: v1.1.0
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+ :reformatted_version: v110
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+ :resource: ExplanationOfBenefit
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+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Outpatient-Institutional
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+ :profile_name: C4BB ExplanationOfBenefit Outpatient Institutional
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+ :profile_version: 1.1.0
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+ :title: ExplanationOfBenefit Outpatient Institutional
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+ :short_description: Verify support for the server capabilities required by the C4BB
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+ ExplanationOfBenefit Outpatient Institutional.
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+ :interactions:
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+ - :code: search-type
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+ :expectation: SHALL
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+ - :code: read
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+ :expectation: SHALL
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+ :operations: []
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+ :searches:
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+ - :names:
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+ - _id
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+ :expectation: SHALL
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+ - :names:
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+ - patient
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+ :expectation: SHALL
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+ - :names:
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+ - _lastUpdated
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+ :expectation: SHALL
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+ - :names:
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+ - type
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+ :expectation: SHALL
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+ - :names:
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+ - identifier
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+ :expectation: SHALL
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+ - :names:
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+ - service-date
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+ :expectation: SHALL
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+ :search_definitions:
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+ :_id:
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+ :paths: []
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+ :full_paths: []
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+ :values: []
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+ :contains_multiple: false
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+ :patient:
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+ :paths:
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+ - patient
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+ :full_paths:
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+ - ExplanationOfBenefit.patient
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+ :comparators: {}
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+ :values: []
51
+ :type: Reference
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+ :contains_multiple: false
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+ :_lastUpdated:
54
+ :paths: []
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+ :full_paths: []
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+ :values: []
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+ :contains_multiple: false
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+ :type:
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+ :paths:
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+ - type
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+ :full_paths:
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+ - ExplanationOfBenefit.type
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+ :comparators: {}
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+ :values:
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+ - institutional
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+ :type: CodeableConcept
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+ :contains_multiple: false
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+ :identifier:
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+ :paths:
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+ - identifier
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+ :full_paths:
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+ - ExplanationOfBenefit.identifier
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+ :comparators: {}
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+ :values: []
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+ :type: Identifier
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+ :contains_multiple: true
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+ :service-date:
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+ :paths:
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+ - 'billablePeriod '
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+ - " item.serviced"
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+ :full_paths:
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+ - 'ExplanationOfBenefit.billablePeriod '
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+ - " ExplanationOfBenefit.item.serviced"
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+ :comparators:
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+ :eq: MAY
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+ :ne: MAY
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+ :gt: MAY
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+ :ge: MAY
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+ :lt: MAY
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+ :le: MAY
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+ :sa: MAY
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+ :eb: MAY
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+ :ap: MAY
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+ :values: []
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+ :type: date
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+ :contains_multiple: false
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+ :include_params:
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+ - ExplanationOfBenefit:patient
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+ - ExplanationOfBenefit:provider
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+ - ExplanationOfBenefit:care-team
101
+ - ExplanationOfBenefit:coverage
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+ - ExplanationOfBenefit:insurer
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+ - ExplanationOfBenefit:*
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+ :revincludes: []
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+ :required_concepts:
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+ - type
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+ - subType
108
+ - priority
109
+ - related.relationship
110
+ - payee.type
111
+ - careTeam.role
112
+ - careTeam.qualification
113
+ - supportingInfo.code
114
+ - supportingInfo.code
115
+ - supportingInfo.code
116
+ - supportingInfo.code
117
+ - supportingInfo.code
118
+ - diagnosis.diagnosisCodeableConcept
119
+ - diagnosis.type
120
+ - item.revenue
121
+ - item.productOrService
122
+ - item.modifier
123
+ - item.adjudication.category
124
+ - item.adjudication.category
125
+ - item.adjudication.reason
126
+ - adjudication.category
127
+ - adjudication.category
128
+ - adjudication.reason
129
+ - total.category
130
+ - total.category
131
+ - payment.type
132
+ :must_supports:
133
+ :extensions: []
134
+ :slices:
135
+ - :name: ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus
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+ :path: supportingInfo
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+ :discriminator:
138
+ :type: patternCodeableConcept
139
+ :path: category
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+ :code: billingnetworkcontractingstatus
141
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:clmrecvddate
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+ :path: supportingInfo
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+ :discriminator:
145
+ :type: patternCodeableConcept
146
+ :path: category
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+ :code: clmrecvddate
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:typeofbill
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+ :path: supportingInfo
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+ :discriminator:
152
+ :type: patternCodeableConcept
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+ :path: category
154
+ :code: typeofbill
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:pointoforigin
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+ :path: supportingInfo
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+ :discriminator:
159
+ :type: patternCodeableConcept
160
+ :path: category
161
+ :code: pointoforigin
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
163
+ - :name: ExplanationOfBenefit.supportingInfo:admtype
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+ :path: supportingInfo
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: category
168
+ :code: admtype
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:discharge-status
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+ :path: supportingInfo
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: category
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+ :code: discharge-status
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
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+ :path: supportingInfo
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: category
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+ :code: medicalrecordnumber
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:patientaccountnumber
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+ :path: supportingInfo
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: category
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+ :code: patientaccountnumber
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
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+ :path: item.adjudication
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+ :discriminator:
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+ :type: requiredBinding
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+ :path: category
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+ :values:
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+ - submitted
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+ - copay
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+ - eligible
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+ - deductible
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+ - benefit
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+ - coinsurance
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+ - noncovered
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+ - priorpayerpaid
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+ - paidbypatient
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+ - paidtopatient
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+ - paidtoprovider
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+ - memberliability
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+ - discount
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+ - drugcost
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+ - :name: ExplanationOfBenefit.item.adjudication:denialreason
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+ :path: item.adjudication
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: category
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+ :code: denialreason
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
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+ - :name: ExplanationOfBenefit.item.adjudication:allowedunits
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+ :path: item.adjudication
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: category
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+ :code: allowedunits
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
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+ - :name: ExplanationOfBenefit.adjudication:adjudicationamounttype
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+ :path: adjudication
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+ :discriminator:
228
+ :type: requiredBinding
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+ :path: category
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+ :values:
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+ - submitted
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+ - copay
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+ - eligible
234
+ - deductible
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+ - benefit
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+ - coinsurance
237
+ - noncovered
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+ - priorpayerpaid
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+ - paidbypatient
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+ - paidtopatient
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+ - paidtoprovider
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+ - memberliability
243
+ - discount
244
+ - drugcost
245
+ - :name: ExplanationOfBenefit.adjudication:denialreason
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+ :path: adjudication
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: category
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+ :code: denialreason
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
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+ - :name: ExplanationOfBenefit.total:adjudicationamounttype
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+ :path: total
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+ :discriminator:
255
+ :type: requiredBinding
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+ :path: category
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+ :values:
258
+ - submitted
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+ - copay
260
+ - eligible
261
+ - deductible
262
+ - benefit
263
+ - coinsurance
264
+ - noncovered
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+ - priorpayerpaid
266
+ - paidbypatient
267
+ - paidtopatient
268
+ - paidtoprovider
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+ - memberliability
270
+ - discount
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+ - drugcost
272
+ - :name: ExplanationOfBenefit.total:benefitpaymentstatus
273
+ :path: total
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+ :discriminator:
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+ :type: requiredBinding
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+ :path: category
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+ :values:
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+ - innetwork
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+ - outofnetwork
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+ - other
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+ - :name: ExplanationOfBenefit.item.serviced[x]:servicedDate
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+ :path: item.serviced[x]
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+ :discriminator:
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+ :type: type
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+ :code: Date
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+ :elements:
287
+ - :path: meta
288
+ - :path: meta.lastUpdated
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+ - :path: identifier
290
+ - :path: identifier.type
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+ - :path: status
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+ - :path: type.coding.code
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+ :fixed_value: institutional
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+ - :path: subType.coding.code
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+ :fixed_value: outpatient
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+ - :path: use
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+ - :path: patient
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+ :types:
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+ - Reference
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+ - :path: billablePeriod
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+ - :path: created
302
+ - :path: insurer
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+ :types:
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+ - Reference
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+ - :path: provider
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+ :types:
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+ - Reference
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+ - :path: related
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+ - :path: related.relationship
310
+ - :path: related.reference
311
+ - :path: payee
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+ - :path: payee.type
313
+ - :path: payee.party
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+ :types:
315
+ - Reference
316
+ - :path: outcome
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+ - :path: careTeam
318
+ - :path: careTeam.provider
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+ :types:
320
+ - Reference
321
+ - :path: careTeam.role
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+ - :path: supportingInfo
323
+ - :path: supportingInfo.category.coding.code
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+ :fixed_value: billingnetworkcontractingstatus
325
+ - :path: supportingInfo.category.coding.code
326
+ :fixed_value: clmrecvddate
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+ - :path: supportingInfo.timing[x]
328
+ - :path: supportingInfo.category.coding.code
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+ :fixed_value: typeofbill
330
+ - :path: supportingInfo.category.coding.code
331
+ :fixed_value: pointoforigin
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+ - :path: supportingInfo.category.coding.code
333
+ :fixed_value: admtype
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+ - :path: supportingInfo.category.coding.code
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+ :fixed_value: discharge-status
336
+ - :path: supportingInfo.code
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+ - :path: diagnosis.diagnosis[x]
338
+ - :path: diagnosis.type
339
+ - :path: insurance
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+ - :path: insurance.focal
341
+ - :path: insurance.coverage
342
+ :types:
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+ - Reference
344
+ - :path: item
345
+ - :path: item.sequence
346
+ - :path: item.revenue
347
+ - :path: item.productOrService
348
+ - :path: item.modifier
349
+ - :path: item.quantity
350
+ - :path: item.noteNumber
351
+ - :path: item.adjudication
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+ - :path: item.adjudication.category
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+ - :path: item.adjudication.amount
354
+ - :path: item.adjudication.category.coding.code
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+ :fixed_value: denialreason
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+ - :path: item.adjudication.reason
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+ - :path: item.adjudication.category.coding.code
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+ :fixed_value: allowedunits
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+ - :path: item.adjudication.value
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+ - :path: adjudication
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+ - :path: adjudication.category
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+ - :path: adjudication.amount
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+ - :path: adjudication.reason
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+ - :path: total
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+ - :path: total.category
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+ - :path: total.amount
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+ - :path: payment
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+ - :path: payment.type
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+ - :path: payment.date
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+ - :path: processNote
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+ - :path: processNote.text
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+ :mandatory_elements:
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+ - ExplanationOfBenefit.meta
374
+ - ExplanationOfBenefit.meta.lastUpdated
375
+ - ExplanationOfBenefit.meta.profile
376
+ - ExplanationOfBenefit.identifier
377
+ - ExplanationOfBenefit.identifier.type
378
+ - ExplanationOfBenefit.status
379
+ - ExplanationOfBenefit.type
380
+ - ExplanationOfBenefit.subType
381
+ - ExplanationOfBenefit.use
382
+ - ExplanationOfBenefit.patient
383
+ - ExplanationOfBenefit.created
384
+ - ExplanationOfBenefit.insurer
385
+ - ExplanationOfBenefit.provider
386
+ - ExplanationOfBenefit.related.relationship
387
+ - ExplanationOfBenefit.related.reference
388
+ - ExplanationOfBenefit.payee.type
389
+ - ExplanationOfBenefit.payee.party
390
+ - ExplanationOfBenefit.outcome
391
+ - ExplanationOfBenefit.careTeam.sequence
392
+ - ExplanationOfBenefit.careTeam.provider
393
+ - ExplanationOfBenefit.careTeam.role
394
+ - ExplanationOfBenefit.supportingInfo.sequence
395
+ - ExplanationOfBenefit.supportingInfo.category
396
+ - ExplanationOfBenefit.supportingInfo.code
397
+ - ExplanationOfBenefit.supportingInfo.timing[x]
398
+ - ExplanationOfBenefit.supportingInfo.value[x]
399
+ - ExplanationOfBenefit.diagnosis
400
+ - ExplanationOfBenefit.diagnosis.sequence
401
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
402
+ - ExplanationOfBenefit.diagnosis.type
403
+ - ExplanationOfBenefit.procedure.sequence
404
+ - ExplanationOfBenefit.procedure.procedure[x]
405
+ - ExplanationOfBenefit.insurance
406
+ - ExplanationOfBenefit.insurance.focal
407
+ - ExplanationOfBenefit.insurance.coverage
408
+ - ExplanationOfBenefit.item.sequence
409
+ - ExplanationOfBenefit.item.productOrService
410
+ - ExplanationOfBenefit.item.adjudication.category
411
+ - ExplanationOfBenefit.item.adjudication.amount
412
+ - ExplanationOfBenefit.item.adjudication.reason
413
+ - ExplanationOfBenefit.item.adjudication.value
414
+ - ExplanationOfBenefit.item.detail.sequence
415
+ - ExplanationOfBenefit.item.detail.productOrService
416
+ - ExplanationOfBenefit.item.detail.subDetail.sequence
417
+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
418
+ - ExplanationOfBenefit.addItem.productOrService
419
+ - ExplanationOfBenefit.addItem.detail.productOrService
420
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
421
+ - ExplanationOfBenefit.adjudication.category
422
+ - ExplanationOfBenefit.adjudication.amount
423
+ - ExplanationOfBenefit.adjudication.reason
424
+ - ExplanationOfBenefit.total
425
+ - ExplanationOfBenefit.total.category
426
+ - ExplanationOfBenefit.total.amount
427
+ - ExplanationOfBenefit.benefitBalance.category
428
+ - ExplanationOfBenefit.benefitBalance.financial.type
429
+ :bindings:
430
+ - :type: Coding
431
+ :strength: extensible
432
+ :system: http://hl7.org/fhir/ValueSet/security-labels
433
+ :path: meta.security
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+ - :type: Coding
435
+ :strength: example
436
+ :system: http://hl7.org/fhir/ValueSet/common-tags
437
+ :path: meta.tag
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+ - :type: code
439
+ :strength: preferred
440
+ :system: http://hl7.org/fhir/ValueSet/languages
441
+ :path: language
442
+ - :type: code
443
+ :strength: required
444
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
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+ :path: identifier.use
446
+ - :type: CodeableConcept
447
+ :strength: extensible
448
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType
449
+ :path: identifier.type
450
+ - :type: code
451
+ :strength: required
452
+ :system: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
453
+ :path: status
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+ - :type: CodeableConcept
455
+ :strength: required
456
+ :system: http://hl7.org/fhir/ValueSet/claim-type
457
+ :path: type
458
+ - :type: CodeableConcept
459
+ :strength: required
460
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBInstitutionalClaimSubType
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+ :path: subType
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+ - :type: code
463
+ :strength: required
464
+ :system: http://hl7.org/fhir/ValueSet/claim-use
465
+ :path: use
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+ - :type: CodeableConcept
467
+ :strength: required
468
+ :system: http://hl7.org/fhir/ValueSet/process-priority
469
+ :path: priority
470
+ - :type: CodeableConcept
471
+ :strength: example
472
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
473
+ :path: fundsReserveRequested
474
+ - :type: CodeableConcept
475
+ :strength: example
476
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
477
+ :path: fundsReserve
478
+ - :type: CodeableConcept
479
+ :strength: required
480
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
481
+ :path: related.relationship
482
+ - :type: CodeableConcept
483
+ :strength: required
484
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
485
+ :path: payee.type
486
+ - :type: code
487
+ :strength: required
488
+ :system: http://hl7.org/fhir/ValueSet/remittance-outcome
489
+ :path: outcome
490
+ - :type: CodeableConcept
491
+ :strength: required
492
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInstitutionalCareTeamRole
493
+ :path: careTeam.role
494
+ - :type: CodeableConcept
495
+ :strength: required
496
+ :system: http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty
497
+ :path: careTeam.qualification
498
+ - :type: CodeableConcept
499
+ :strength: extensible
500
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
501
+ :path: supportingInfo.category
502
+ - :type: CodeableConcept
503
+ :strength: example
504
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
505
+ :path: supportingInfo.code
506
+ - :type: Coding
507
+ :strength: example
508
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
509
+ :path: supportingInfo.reason
510
+ - :type: CodeableConcept
511
+ :strength: extensible
512
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
513
+ :path: supportingInfo.category
514
+ - :type: CodeableConcept
515
+ :strength: required
516
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
517
+ :path: supportingInfo.code
518
+ - :type: Coding
519
+ :strength: example
520
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
521
+ :path: supportingInfo.reason
522
+ - :type: CodeableConcept
523
+ :strength: extensible
524
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
525
+ :path: supportingInfo.category
526
+ - :type: CodeableConcept
527
+ :strength: example
528
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
529
+ :path: supportingInfo.code
530
+ - :type: Coding
531
+ :strength: example
532
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
533
+ :path: supportingInfo.reason
534
+ - :type: CodeableConcept
535
+ :strength: extensible
536
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
537
+ :path: supportingInfo.category
538
+ - :type: CodeableConcept
539
+ :strength: required
540
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCTypeOfBill
541
+ :path: supportingInfo.code
542
+ - :type: Coding
543
+ :strength: example
544
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
545
+ :path: supportingInfo.reason
546
+ - :type: CodeableConcept
547
+ :strength: extensible
548
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
549
+ :path: supportingInfo.category
550
+ - :type: CodeableConcept
551
+ :strength: required
552
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPointOfOriginForAdmissionOrVisit
553
+ :path: supportingInfo.code
554
+ - :type: Coding
555
+ :strength: example
556
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
557
+ :path: supportingInfo.reason
558
+ - :type: CodeableConcept
559
+ :strength: extensible
560
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
561
+ :path: supportingInfo.category
562
+ - :type: CodeableConcept
563
+ :strength: required
564
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisit
565
+ :path: supportingInfo.code
566
+ - :type: Coding
567
+ :strength: example
568
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
569
+ :path: supportingInfo.reason
570
+ - :type: CodeableConcept
571
+ :strength: extensible
572
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
573
+ :path: supportingInfo.category
574
+ - :type: CodeableConcept
575
+ :strength: required
576
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPatientDischargeStatus
577
+ :path: supportingInfo.code
578
+ - :type: Coding
579
+ :strength: example
580
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
581
+ :path: supportingInfo.reason
582
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583
+ :strength: extensible
584
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
585
+ :path: supportingInfo.category
586
+ - :type: CodeableConcept
587
+ :strength: example
588
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
589
+ :path: supportingInfo.code
590
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591
+ :strength: example
592
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
593
+ :path: supportingInfo.reason
594
+ - :type: CodeableConcept
595
+ :strength: extensible
596
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
597
+ :path: supportingInfo.category
598
+ - :type: CodeableConcept
599
+ :strength: example
600
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
601
+ :path: supportingInfo.code
602
+ - :type: Coding
603
+ :strength: example
604
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
605
+ :path: supportingInfo.reason
606
+ - :type: CodeableConcept
607
+ :strength: required
608
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes
609
+ :path: diagnosis.diagnosis
610
+ - :type: CodeableConcept
611
+ :strength: required
612
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimOutpatientInstitutionalDiagnosisType
613
+ :path: diagnosis.type
614
+ - :type: CodeableConcept
615
+ :strength: example
616
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
617
+ :path: diagnosis.onAdmission
618
+ - :type: CodeableConcept
619
+ :strength: example
620
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
621
+ :path: diagnosis.packageCode
622
+ - :type: CodeableConcept
623
+ :strength: example
624
+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
625
+ :path: procedure.type
626
+ - :type: CodeableConcept
627
+ :strength: example
628
+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
629
+ :path: procedure.procedure
630
+ - :type: CodeableConcept
631
+ :strength: extensible
632
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
633
+ :path: accident.type
634
+ - :type: CodeableConcept
635
+ :strength: required
636
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCRevenueCodes
637
+ :path: item.revenue
638
+ - :type: CodeableConcept
639
+ :strength: example
640
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
641
+ :path: item.category
642
+ - :type: CodeableConcept
643
+ :strength: required
644
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBEOBInstitutionalProcedureCodes
645
+ :path: item.productOrService
646
+ - :type: CodeableConcept
647
+ :strength: required
648
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers
649
+ :path: item.modifier
650
+ - :type: CodeableConcept
651
+ :strength: example
652
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
653
+ :path: item.programCode
654
+ - :type: CodeableConcept
655
+ :strength: example
656
+ :system: http://hl7.org/fhir/ValueSet/service-place
657
+ :path: item.location
658
+ - :type: CodeableConcept
659
+ :strength: example
660
+ :system: http://hl7.org/fhir/ValueSet/tooth
661
+ :path: item.bodySite
662
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663
+ :strength: example
664
+ :system: http://hl7.org/fhir/ValueSet/surface
665
+ :path: item.subSite
666
+ - :type: CodeableConcept
667
+ :strength: required
668
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
669
+ :path: item.adjudication.category
670
+ - :type: CodeableConcept
671
+ :strength: example
672
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
673
+ :path: item.adjudication.reason
674
+ - :type: CodeableConcept
675
+ :strength: required
676
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
677
+ :path: item.adjudication.category
678
+ - :type: CodeableConcept
679
+ :strength: example
680
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
681
+ :path: item.adjudication.reason
682
+ - :type: CodeableConcept
683
+ :strength: example
684
+ :system: http://hl7.org/fhir/ValueSet/adjudication
685
+ :path: item.adjudication.category
686
+ - :type: CodeableConcept
687
+ :strength: required
688
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
689
+ :path: item.adjudication.reason
690
+ - :type: CodeableConcept
691
+ :strength: example
692
+ :system: http://hl7.org/fhir/ValueSet/adjudication
693
+ :path: item.adjudication.category
694
+ - :type: CodeableConcept
695
+ :strength: example
696
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
697
+ :path: item.adjudication.reason
698
+ - :type: CodeableConcept
699
+ :strength: example
700
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
701
+ :path: item.detail.revenue
702
+ - :type: CodeableConcept
703
+ :strength: example
704
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
705
+ :path: item.detail.category
706
+ - :type: CodeableConcept
707
+ :strength: example
708
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
709
+ :path: item.detail.productOrService
710
+ - :type: CodeableConcept
711
+ :strength: example
712
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
713
+ :path: item.detail.modifier
714
+ - :type: CodeableConcept
715
+ :strength: example
716
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
717
+ :path: item.detail.programCode
718
+ - :type: CodeableConcept
719
+ :strength: example
720
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
721
+ :path: item.detail.subDetail.revenue
722
+ - :type: CodeableConcept
723
+ :strength: example
724
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
725
+ :path: item.detail.subDetail.category
726
+ - :type: CodeableConcept
727
+ :strength: example
728
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
729
+ :path: item.detail.subDetail.productOrService
730
+ - :type: CodeableConcept
731
+ :strength: example
732
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
733
+ :path: item.detail.subDetail.modifier
734
+ - :type: CodeableConcept
735
+ :strength: example
736
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
737
+ :path: item.detail.subDetail.programCode
738
+ - :type: CodeableConcept
739
+ :strength: example
740
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
741
+ :path: addItem.productOrService
742
+ - :type: CodeableConcept
743
+ :strength: example
744
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
745
+ :path: addItem.modifier
746
+ - :type: CodeableConcept
747
+ :strength: example
748
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
749
+ :path: addItem.programCode
750
+ - :type: CodeableConcept
751
+ :strength: example
752
+ :system: http://hl7.org/fhir/ValueSet/service-place
753
+ :path: addItem.location
754
+ - :type: CodeableConcept
755
+ :strength: example
756
+ :system: http://hl7.org/fhir/ValueSet/tooth
757
+ :path: addItem.bodySite
758
+ - :type: CodeableConcept
759
+ :strength: example
760
+ :system: http://hl7.org/fhir/ValueSet/surface
761
+ :path: addItem.subSite
762
+ - :type: CodeableConcept
763
+ :strength: example
764
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
765
+ :path: addItem.detail.productOrService
766
+ - :type: CodeableConcept
767
+ :strength: example
768
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
769
+ :path: addItem.detail.modifier
770
+ - :type: CodeableConcept
771
+ :strength: example
772
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
773
+ :path: addItem.detail.subDetail.productOrService
774
+ - :type: CodeableConcept
775
+ :strength: example
776
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
777
+ :path: addItem.detail.subDetail.modifier
778
+ - :type: CodeableConcept
779
+ :strength: required
780
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
781
+ :path: adjudication.category
782
+ - :type: CodeableConcept
783
+ :strength: example
784
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
785
+ :path: adjudication.reason
786
+ - :type: CodeableConcept
787
+ :strength: required
788
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
789
+ :path: adjudication.category
790
+ - :type: CodeableConcept
791
+ :strength: example
792
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
793
+ :path: adjudication.reason
794
+ - :type: CodeableConcept
795
+ :strength: example
796
+ :system: http://hl7.org/fhir/ValueSet/adjudication
797
+ :path: adjudication.category
798
+ - :type: CodeableConcept
799
+ :strength: required
800
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
801
+ :path: adjudication.reason
802
+ - :type: CodeableConcept
803
+ :strength: extensible
804
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
805
+ :path: total.category
806
+ - :type: CodeableConcept
807
+ :strength: required
808
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
809
+ :path: total.category
810
+ - :type: CodeableConcept
811
+ :strength: required
812
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
813
+ :path: total.category
814
+ - :type: CodeableConcept
815
+ :strength: required
816
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
817
+ :path: payment.type
818
+ - :type: CodeableConcept
819
+ :strength: example
820
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
821
+ :path: payment.adjustmentReason
822
+ - :type: CodeableConcept
823
+ :strength: example
824
+ :system: http://hl7.org/fhir/ValueSet/forms
825
+ :path: formCode
826
+ - :type: code
827
+ :strength: required
828
+ :system: http://hl7.org/fhir/ValueSet/note-type
829
+ :path: processNote.type
830
+ - :type: CodeableConcept
831
+ :strength: preferred
832
+ :system: http://hl7.org/fhir/ValueSet/languages
833
+ :path: processNote.language
834
+ - :type: CodeableConcept
835
+ :strength: example
836
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
837
+ :path: benefitBalance.category
838
+ - :type: CodeableConcept
839
+ :strength: example
840
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
841
+ :path: benefitBalance.network
842
+ - :type: CodeableConcept
843
+ :strength: example
844
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
845
+ :path: benefitBalance.unit
846
+ - :type: CodeableConcept
847
+ :strength: example
848
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
849
+ :path: benefitBalance.term
850
+ - :type: CodeableConcept
851
+ :strength: example
852
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
853
+ :path: benefitBalance.financial.type
854
+ :references:
855
+ - :path: ExplanationOfBenefit.identifier.assigner
856
+ :profiles:
857
+ - http://hl7.org/fhir/StructureDefinition/Organization
858
+ - :path: ExplanationOfBenefit.patient
859
+ :profiles:
860
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
861
+ - :path: ExplanationOfBenefit.enterer
862
+ :profiles:
863
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
864
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
865
+ - :path: ExplanationOfBenefit.insurer
866
+ :profiles:
867
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
868
+ - :path: ExplanationOfBenefit.provider
869
+ :profiles:
870
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
871
+ - :path: ExplanationOfBenefit.related.claim
872
+ :profiles:
873
+ - http://hl7.org/fhir/StructureDefinition/Claim
874
+ - :path: ExplanationOfBenefit.prescription
875
+ :profiles:
876
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
877
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
878
+ - :path: ExplanationOfBenefit.originalPrescription
879
+ :profiles:
880
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
881
+ - :path: ExplanationOfBenefit.payee.party
882
+ :profiles:
883
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
884
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
885
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
886
+ - :path: ExplanationOfBenefit.referral
887
+ :profiles:
888
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
889
+ - :path: ExplanationOfBenefit.facility
890
+ :profiles:
891
+ - http://hl7.org/fhir/StructureDefinition/Location
892
+ - :path: ExplanationOfBenefit.claim
893
+ :profiles:
894
+ - http://hl7.org/fhir/StructureDefinition/Claim
895
+ - :path: ExplanationOfBenefit.claimResponse
896
+ :profiles:
897
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
898
+ - :path: ExplanationOfBenefit.careTeam.provider
899
+ :profiles:
900
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
901
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
902
+ - :path: ExplanationOfBenefit.procedure.udi
903
+ :profiles:
904
+ - http://hl7.org/fhir/StructureDefinition/Device
905
+ - :path: ExplanationOfBenefit.insurance.coverage
906
+ :profiles:
907
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
908
+ - :path: ExplanationOfBenefit.item.udi
909
+ :profiles:
910
+ - http://hl7.org/fhir/StructureDefinition/Device
911
+ - :path: ExplanationOfBenefit.item.encounter
912
+ :profiles:
913
+ - http://hl7.org/fhir/StructureDefinition/Encounter
914
+ - :path: ExplanationOfBenefit.item.detail.udi
915
+ :profiles:
916
+ - http://hl7.org/fhir/StructureDefinition/Device
917
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
918
+ :profiles:
919
+ - http://hl7.org/fhir/StructureDefinition/Device
920
+ - :path: ExplanationOfBenefit.addItem.provider
921
+ :profiles:
922
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
923
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
924
+ - http://hl7.org/fhir/StructureDefinition/Organization
925
+ :tests:
926
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_read_test
927
+ :file_name: explanation_of_benefit_outpatient_institutional_read_test.rb
928
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_validation_test
929
+ :file_name: explanation_of_benefit_outpatient_institutional_validation_test.rb
930
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_must_support_test
931
+ :file_name: explanation_of_benefit_outpatient_institutional_must_support_test.rb
932
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional__id_search_test
933
+ :file_name: explanation_of_benefit_outpatient_institutional_id_search_test.rb
934
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_patient_search_test
935
+ :file_name: explanation_of_benefit_outpatient_institutional_patient_search_test.rb
936
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional__lastUpdated_search_test
937
+ :file_name: explanation_of_benefit_outpatient_institutional_lastupdated_search_test.rb
938
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_type_search_test
939
+ :file_name: explanation_of_benefit_outpatient_institutional_type_search_test.rb
940
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_identifier_search_test
941
+ :file_name: explanation_of_benefit_outpatient_institutional_identifier_search_test.rb
942
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_service_date_search_test
943
+ :file_name: explanation_of_benefit_outpatient_institutional_service_date_search_test.rb
944
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_include_ExplanationOfBenefit_patient_search_test
945
+ :file_name: explanation_of_benefit_outpatient_institutional_explanation_of_benefit_patient_search_test.rb
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+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_include_ExplanationOfBenefit_provider_search_test
947
+ :file_name: explanation_of_benefit_outpatient_institutional_explanation_of_benefit_provider_search_test.rb
948
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_include_ExplanationOfBenefit_careteam_search_test
949
+ :file_name: explanation_of_benefit_outpatient_institutional_explanation_of_benefit_careteam_search_test.rb
950
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_include_ExplanationOfBenefit_coverage_search_test
951
+ :file_name: explanation_of_benefit_outpatient_institutional_explanation_of_benefit_coverage_search_test.rb
952
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_include_ExplanationOfBenefit_insurer_search_test
953
+ :file_name: explanation_of_benefit_outpatient_institutional_explanation_of_benefit_insurer_search_test.rb
954
+ - :id: c4bb_v110_explanation_of_benefit_outpatient_institutional_include_ExplanationOfBenefit_All_search_test
955
+ :file_name: explanation_of_benefit_outpatient_institutional_explanation_of_benefit_all_search_test.rb
956
+ :id: c4bb_v110_explanation_of_benefit_outpatient_institutional
957
+ :file_name: explanation_of_benefit_outpatient_institutional_group.rb
958
+ :delayed_references:
959
+ - :path: insurer
960
+ :resources:
961
+ - Organization
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+ - :path: provider
963
+ :resources:
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+ - Organization
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+ - :path: payee.party
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+ :resources:
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+ - Organization
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+ - Practitioner
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+ - :path: careTeam.provider
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+ :resources:
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+ - Organization
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+ - Practitioner
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+ - :path: insurance.coverage
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+ :resources:
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+ - Coverage