carin_for_blue_button_test_kit 0.9.0 → 0.9.1
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- checksums.yaml +4 -4
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/coverage/metadata.yml +147 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit/metadata.yml +604 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_inpatient_institutional/metadata.yml +1025 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_outpatient_institutional/metadata.yml +975 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_pharmacy/metadata.yml +889 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_professional_non_clinician/metadata.yml +870 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/metadata.yml +4700 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/organization/metadata.yml +119 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/patient/metadata.yml +207 -0
- data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/practitioner/metadata.yml +95 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/coverage/metadata.yml +173 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit/metadata.yml +682 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_inpatient_institutional/metadata.yml +1092 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_oral/metadata.yml +1066 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_outpatient_institutional/metadata.yml +1045 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_pharmacy/metadata.yml +996 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/explanation_of_benefit_professional_non_clinician/metadata.yml +1100 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/metadata.yml +6399 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/organization/metadata.yml +136 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/patient/metadata.yml +224 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/practitioner/metadata.yml +112 -0
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/related_person/metadata.yml +101 -0
- data/lib/carin_for_blue_button_test_kit/igs/carin4bb-110.tgz +0 -0
- data/lib/carin_for_blue_button_test_kit/igs/carin4bb-200.tgz +0 -0
- data/lib/carin_for_blue_button_test_kit/version.rb +1 -1
- metadata +25 -1
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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: []
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:type: Reference
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:contains_multiple: false
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:_lastUpdated:
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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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: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
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- 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
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- priority
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- related.relationship
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- payee.type
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- careTeam.role
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- careTeam.qualification
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- supportingInfo.code
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- supportingInfo.code
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- supportingInfo.code
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- supportingInfo.code
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- supportingInfo.code
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- diagnosis.diagnosisCodeableConcept
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- diagnosis.type
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- item.revenue
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- item.productOrService
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- item.modifier
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- item.adjudication.category
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- item.adjudication.category
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- item.adjudication.reason
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- adjudication.category
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- adjudication.category
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- adjudication.reason
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- total.category
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- total.category
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- payment.type
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:must_supports:
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:extensions: []
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:slices:
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- :name: ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus
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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: billingnetworkcontractingstatus
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: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:
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:type: patternCodeableConcept
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: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:
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:type: patternCodeableConcept
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:path: category
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: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:
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:type: patternCodeableConcept
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:path: category
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:code: pointoforigin
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:system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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- :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
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: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:
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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.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:
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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.total:benefitpaymentstatus
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: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:
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- :path: meta
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- :path: meta.lastUpdated
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- :path: identifier
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- :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
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- :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
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- :path: related.reference
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- :path: payee
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- :path: payee.type
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- :path: payee.party
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:types:
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- Reference
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- :path: outcome
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- :path: careTeam
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- :path: careTeam.provider
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:types:
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- Reference
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- :path: careTeam.role
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- :path: supportingInfo
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- :path: supportingInfo.category.coding.code
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:fixed_value: billingnetworkcontractingstatus
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- :path: supportingInfo.category.coding.code
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:fixed_value: clmrecvddate
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- :path: supportingInfo.timing[x]
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- :path: supportingInfo.category.coding.code
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:fixed_value: typeofbill
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- :path: supportingInfo.category.coding.code
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:fixed_value: pointoforigin
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- :path: supportingInfo.category.coding.code
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:fixed_value: admtype
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- :path: supportingInfo.category.coding.code
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:fixed_value: discharge-status
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- :path: supportingInfo.code
|
337
|
+
- :path: diagnosis.diagnosis[x]
|
338
|
+
- :path: diagnosis.type
|
339
|
+
- :path: insurance
|
340
|
+
- :path: insurance.focal
|
341
|
+
- :path: insurance.coverage
|
342
|
+
:types:
|
343
|
+
- 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
|
352
|
+
- :path: item.adjudication.category
|
353
|
+
- :path: item.adjudication.amount
|
354
|
+
- :path: item.adjudication.category.coding.code
|
355
|
+
:fixed_value: denialreason
|
356
|
+
- :path: item.adjudication.reason
|
357
|
+
- :path: item.adjudication.category.coding.code
|
358
|
+
:fixed_value: allowedunits
|
359
|
+
- :path: item.adjudication.value
|
360
|
+
- :path: adjudication
|
361
|
+
- :path: adjudication.category
|
362
|
+
- :path: adjudication.amount
|
363
|
+
- :path: adjudication.reason
|
364
|
+
- :path: total
|
365
|
+
- :path: total.category
|
366
|
+
- :path: total.amount
|
367
|
+
- :path: payment
|
368
|
+
- :path: payment.type
|
369
|
+
- :path: payment.date
|
370
|
+
- :path: processNote
|
371
|
+
- :path: processNote.text
|
372
|
+
:mandatory_elements:
|
373
|
+
- 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
|
434
|
+
- :type: Coding
|
435
|
+
:strength: example
|
436
|
+
:system: http://hl7.org/fhir/ValueSet/common-tags
|
437
|
+
:path: meta.tag
|
438
|
+
- :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
|
445
|
+
: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
|
454
|
+
- :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
|
461
|
+
:path: subType
|
462
|
+
- :type: code
|
463
|
+
:strength: required
|
464
|
+
:system: http://hl7.org/fhir/ValueSet/claim-use
|
465
|
+
:path: use
|
466
|
+
- :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
|
+
- :type: CodeableConcept
|
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
|
+
- :type: Coding
|
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
|
+
- :type: CodeableConcept
|
663
|
+
:strength: example
|
664
|
+
:system: http://hl7.org/fhir/ValueSet/surface
|
665
|
+
:path: item.subSite
|
666
|
+
- :type: CodeableConcept
|
667
|
+
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|
668
|
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669
|
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670
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671
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672
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673
|
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674
|
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675
|
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676
|
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677
|
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|
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679
|
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680
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681
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|
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683
|
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684
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685
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686
|
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687
|
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688
|
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689
|
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|
690
|
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691
|
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|
692
|
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693
|
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|
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|
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695
|
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|
696
|
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697
|
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|
698
|
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699
|
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|
700
|
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701
|
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|
702
|
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|
703
|
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|
704
|
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705
|
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706
|
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707
|
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|
708
|
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709
|
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710
|
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711
|
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712
|
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713
|
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714
|
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715
|
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|
716
|
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717
|
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|
718
|
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|
719
|
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720
|
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721
|
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722
|
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723
|
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724
|
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725
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|
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727
|
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728
|
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729
|
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730
|
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731
|
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732
|
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733
|
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|
734
|
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735
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736
|
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737
|
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|
738
|
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739
|
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740
|
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741
|
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742
|
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743
|
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744
|
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745
|
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746
|
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747
|
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748
|
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|
749
|
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:path: addItem.programCode
|
750
|
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751
|
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752
|
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753
|
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754
|
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755
|
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756
|
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|
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|
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|
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|
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|
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|
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762
|
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763
|
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|
764
|
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765
|
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|
766
|
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767
|
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768
|
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|
769
|
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770
|
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771
|
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772
|
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|
773
|
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774
|
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775
|
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776
|
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777
|
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|
778
|
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|
779
|
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|
780
|
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|
781
|
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|
782
|
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|
783
|
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|
784
|
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|
785
|
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|
786
|
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|
787
|
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|
788
|
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|
789
|
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:path: adjudication.category
|
790
|
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|
791
|
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|
792
|
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:system: http://hl7.org/fhir/ValueSet/adjudication-reason
|
793
|
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:path: adjudication.reason
|
794
|
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|
795
|
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|
796
|
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|
797
|
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|
798
|
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|
799
|
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:strength: required
|
800
|
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:system: http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
|
801
|
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:path: adjudication.reason
|
802
|
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|
803
|
+
:strength: extensible
|
804
|
+
:system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
|
805
|
+
:path: total.category
|
806
|
+
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|
807
|
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:strength: required
|
808
|
+
:system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
|
809
|
+
:path: total.category
|
810
|
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- :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
|
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: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
|
+
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|
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
|
946
|
+
- :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
|
962
|
+
- :path: provider
|
963
|
+
:resources:
|
964
|
+
- Organization
|
965
|
+
- :path: payee.party
|
966
|
+
:resources:
|
967
|
+
- Organization
|
968
|
+
- Practitioner
|
969
|
+
- :path: careTeam.provider
|
970
|
+
:resources:
|
971
|
+
- Organization
|
972
|
+
- Practitioner
|
973
|
+
- :path: insurance.coverage
|
974
|
+
:resources:
|
975
|
+
- Coverage
|