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
data/lib/carin_for_blue_button_test_kit/generated/v1.1.0/explanation_of_benefit_pharmacy/metadata.yml ADDED
@@ -0,0 +1,889 @@
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+ ---
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+ :name: C4BB_ExplanationOfBenefit_Pharmacy
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+ :class_name: C4bbExplanationofbenefitPharmacySequence
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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-Pharmacy
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+ :profile_name: C4BB ExplanationOfBenefit Pharmacy
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+ :profile_version: 1.1.0
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+ :title: ExplanationOfBenefit Pharmacy
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+ :short_description: Verify support for the server capabilities required by the C4BB
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+ ExplanationOfBenefit Pharmacy.
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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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+ - pharmacy
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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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+ - priority
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+ - related.relationship
109
+ - payee.type
110
+ - careTeam.role
111
+ - supportingInfo.code
112
+ - supportingInfo.code
113
+ - supportingInfo.code
114
+ - supportingInfo.code
115
+ - supportingInfo.code
116
+ - item.productOrService
117
+ - item.adjudication.category
118
+ - item.adjudication.category
119
+ - item.adjudication.reason
120
+ - item.detail.productOrService
121
+ - total.category
122
+ - total.category
123
+ - payment.type
124
+ :must_supports:
125
+ :extensions: []
126
+ :slices:
127
+ - :name: ExplanationOfBenefit.supportingInfo:dayssupply
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+ :path: supportingInfo
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+ :discriminator:
130
+ :type: patternCodeableConcept
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+ :path: category
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+ :code: dayssupply
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:dawcode
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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: dawcode
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:refillNum
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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: refillnum
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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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:brandgenericindicator
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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: brandgenericindicator
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+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
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+ - :name: ExplanationOfBenefit.supportingInfo:rxoriginCode
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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: rxorigincode
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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:compoundcode
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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: compoundcode
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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.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
228
+ - 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:
233
+ :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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+ :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: pharmacy
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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:
255
+ - Reference
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+ - :path: provider
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+ :types:
258
+ - Reference
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+ - :path: related
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+ - :path: related.relationship
261
+ - :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
267
+ - :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
273
+ - :path: supportingInfo
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+ - :path: supportingInfo.category.coding.code
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+ :fixed_value: dayssupply
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+ - :path: supportingInfo.category.coding.code
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+ :fixed_value: dawcode
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+ - :path: supportingInfo.category.coding.code
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+ :fixed_value: refillnum
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+ - :path: supportingInfo.value[x]
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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: brandgenericindicator
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+ - :path: supportingInfo.category.coding.code
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+ :fixed_value: rxorigincode
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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: compoundcode
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+ - :path: supportingInfo.code
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+ - :path: insurance
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+ - :path: insurance.focal
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+ - :path: insurance.coverage
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+ :types:
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+ - Reference
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+ - :path: item
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+ - :path: item.sequence
300
+ - :path: item.productOrService
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+ - :path: item.serviced[x]
302
+ - :path: item.quantity
303
+ - :path: item.noteNumber
304
+ - :path: item.adjudication
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+ - :path: item.adjudication.category
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+ - :path: item.adjudication.amount
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+ - :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.detail
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+ - :path: item.detail.productOrService
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+ - :path: item.detail.quantity
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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
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+ - ExplanationOfBenefit.meta.lastUpdated
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+ - ExplanationOfBenefit.meta.profile
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+ - ExplanationOfBenefit.identifier
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+ - ExplanationOfBenefit.identifier.type
327
+ - ExplanationOfBenefit.status
328
+ - ExplanationOfBenefit.type
329
+ - ExplanationOfBenefit.use
330
+ - ExplanationOfBenefit.patient
331
+ - ExplanationOfBenefit.created
332
+ - ExplanationOfBenefit.insurer
333
+ - ExplanationOfBenefit.provider
334
+ - ExplanationOfBenefit.related.relationship
335
+ - ExplanationOfBenefit.related.reference
336
+ - ExplanationOfBenefit.payee.type
337
+ - ExplanationOfBenefit.payee.party
338
+ - ExplanationOfBenefit.outcome
339
+ - ExplanationOfBenefit.careTeam.sequence
340
+ - ExplanationOfBenefit.careTeam.provider
341
+ - ExplanationOfBenefit.careTeam.role
342
+ - ExplanationOfBenefit.supportingInfo
343
+ - ExplanationOfBenefit.supportingInfo.sequence
344
+ - ExplanationOfBenefit.supportingInfo.category
345
+ - ExplanationOfBenefit.supportingInfo.value[x]
346
+ - ExplanationOfBenefit.supportingInfo.code
347
+ - ExplanationOfBenefit.supportingInfo.timing[x]
348
+ - ExplanationOfBenefit.diagnosis.sequence
349
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
350
+ - ExplanationOfBenefit.procedure.sequence
351
+ - ExplanationOfBenefit.procedure.procedure[x]
352
+ - ExplanationOfBenefit.insurance
353
+ - ExplanationOfBenefit.insurance.focal
354
+ - ExplanationOfBenefit.insurance.coverage
355
+ - ExplanationOfBenefit.item.sequence
356
+ - ExplanationOfBenefit.item.productOrService
357
+ - ExplanationOfBenefit.item.adjudication
358
+ - ExplanationOfBenefit.item.adjudication.category
359
+ - ExplanationOfBenefit.item.adjudication.amount
360
+ - ExplanationOfBenefit.item.adjudication.reason
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+ - ExplanationOfBenefit.item.detail.sequence
362
+ - ExplanationOfBenefit.item.detail.productOrService
363
+ - ExplanationOfBenefit.item.detail.subDetail.sequence
364
+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
365
+ - ExplanationOfBenefit.addItem.productOrService
366
+ - ExplanationOfBenefit.addItem.detail.productOrService
367
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
368
+ - ExplanationOfBenefit.total
369
+ - ExplanationOfBenefit.total.category
370
+ - ExplanationOfBenefit.total.amount
371
+ - ExplanationOfBenefit.benefitBalance.category
372
+ - ExplanationOfBenefit.benefitBalance.financial.type
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+ :bindings:
374
+ - :type: Coding
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/ValueSet/security-labels
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+ :path: meta.security
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+ - :type: Coding
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/common-tags
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+ :path: meta.tag
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+ - :type: code
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+ :strength: preferred
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+ :system: http://hl7.org/fhir/ValueSet/languages
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+ :path: language
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+ - :type: code
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+ :strength: required
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+ :system: http://hl7.org/fhir/ValueSet/identifier-use
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+ :path: identifier.use
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+ - :type: CodeableConcept
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+ :strength: extensible
392
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType
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+ :path: identifier.type
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+ - :type: code
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+ :strength: required
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+ :system: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
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+ :path: status
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+ - :type: CodeableConcept
399
+ :strength: required
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+ :system: http://hl7.org/fhir/ValueSet/claim-type
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+ :path: type
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+ - :type: CodeableConcept
403
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/claim-subtype
405
+ :path: subType
406
+ - :type: code
407
+ :strength: required
408
+ :system: http://hl7.org/fhir/ValueSet/claim-use
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+ :path: use
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+ - :type: CodeableConcept
411
+ :strength: required
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+ :system: http://hl7.org/fhir/ValueSet/process-priority
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+ :path: priority
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+ - :type: CodeableConcept
415
+ :strength: example
416
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
417
+ :path: fundsReserveRequested
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+ - :type: CodeableConcept
419
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
421
+ :path: fundsReserve
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+ - :type: CodeableConcept
423
+ :strength: required
424
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
425
+ :path: related.relationship
426
+ - :type: CodeableConcept
427
+ :strength: required
428
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
429
+ :path: payee.type
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+ - :type: code
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+ :strength: required
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+ :system: http://hl7.org/fhir/ValueSet/remittance-outcome
433
+ :path: outcome
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+ - :type: CodeableConcept
435
+ :strength: required
436
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimPharmacyTeamRole
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+ :path: careTeam.role
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+ - :type: CodeableConcept
439
+ :strength: example
440
+ :system: http://hl7.org/fhir/ValueSet/provider-qualification
441
+ :path: careTeam.qualification
442
+ - :type: CodeableConcept
443
+ :strength: extensible
444
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
445
+ :path: supportingInfo.category
446
+ - :type: CodeableConcept
447
+ :strength: example
448
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
449
+ :path: supportingInfo.code
450
+ - :type: Coding
451
+ :strength: example
452
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
453
+ :path: supportingInfo.reason
454
+ - :type: CodeableConcept
455
+ :strength: extensible
456
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
457
+ :path: supportingInfo.category
458
+ - :type: CodeableConcept
459
+ :strength: example
460
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
461
+ :path: supportingInfo.code
462
+ - :type: Coding
463
+ :strength: example
464
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
465
+ :path: supportingInfo.reason
466
+ - :type: CodeableConcept
467
+ :strength: extensible
468
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
469
+ :path: supportingInfo.category
470
+ - :type: CodeableConcept
471
+ :strength: required
472
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPDispensedAsWrittenOrProductSelectionCode
473
+ :path: supportingInfo.code
474
+ - :type: Coding
475
+ :strength: example
476
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
477
+ :path: supportingInfo.reason
478
+ - :type: CodeableConcept
479
+ :strength: extensible
480
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
481
+ :path: supportingInfo.category
482
+ - :type: CodeableConcept
483
+ :strength: example
484
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485
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486
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487
+ :strength: example
488
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
489
+ :path: supportingInfo.reason
490
+ - :type: CodeableConcept
491
+ :strength: extensible
492
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
493
+ :path: supportingInfo.category
494
+ - :type: CodeableConcept
495
+ :strength: required
496
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
497
+ :path: supportingInfo.code
498
+ - :type: Coding
499
+ :strength: example
500
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
501
+ :path: supportingInfo.reason
502
+ - :type: CodeableConcept
503
+ :strength: extensible
504
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
505
+ :path: supportingInfo.category
506
+ - :type: CodeableConcept
507
+ :strength: required
508
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPBrandGenericIndicator
509
+ :path: supportingInfo.code
510
+ - :type: Coding
511
+ :strength: example
512
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
513
+ :path: supportingInfo.reason
514
+ - :type: CodeableConcept
515
+ :strength: extensible
516
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
517
+ :path: supportingInfo.category
518
+ - :type: CodeableConcept
519
+ :strength: required
520
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPPrescriptionOriginCode
521
+ :path: supportingInfo.code
522
+ - :type: Coding
523
+ :strength: example
524
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
525
+ :path: supportingInfo.reason
526
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527
+ :strength: extensible
528
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
529
+ :path: supportingInfo.category
530
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531
+ :strength: example
532
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533
+ :path: supportingInfo.code
534
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535
+ :strength: example
536
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
537
+ :path: supportingInfo.reason
538
+ - :type: CodeableConcept
539
+ :strength: extensible
540
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
541
+ :path: supportingInfo.category
542
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543
+ :strength: required
544
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPCompoundCode
545
+ :path: supportingInfo.code
546
+ - :type: Coding
547
+ :strength: example
548
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
549
+ :path: supportingInfo.reason
550
+ - :type: CodeableConcept
551
+ :strength: example
552
+ :system: http://hl7.org/fhir/ValueSet/icd-10
553
+ :path: diagnosis.diagnosis
554
+ - :type: CodeableConcept
555
+ :strength: example
556
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosistype
557
+ :path: diagnosis.type
558
+ - :type: CodeableConcept
559
+ :strength: example
560
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
561
+ :path: diagnosis.onAdmission
562
+ - :type: CodeableConcept
563
+ :strength: example
564
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
565
+ :path: diagnosis.packageCode
566
+ - :type: CodeableConcept
567
+ :strength: example
568
+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
569
+ :path: procedure.type
570
+ - :type: CodeableConcept
571
+ :strength: example
572
+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
573
+ :path: procedure.procedure
574
+ - :type: CodeableConcept
575
+ :strength: extensible
576
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
577
+ :path: accident.type
578
+ - :type: CodeableConcept
579
+ :strength: example
580
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
581
+ :path: item.revenue
582
+ - :type: CodeableConcept
583
+ :strength: example
584
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
585
+ :path: item.category
586
+ - :type: CodeableConcept
587
+ :strength: required
588
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANDCOrCompound
589
+ :path: item.productOrService
590
+ - :type: CodeableConcept
591
+ :strength: example
592
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
593
+ :path: item.modifier
594
+ - :type: CodeableConcept
595
+ :strength: example
596
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
597
+ :path: item.programCode
598
+ - :type: CodeableConcept
599
+ :strength: example
600
+ :system: http://hl7.org/fhir/ValueSet/service-place
601
+ :path: item.location
602
+ - :type: CodeableConcept
603
+ :strength: example
604
+ :system: http://hl7.org/fhir/ValueSet/tooth
605
+ :path: item.bodySite
606
+ - :type: CodeableConcept
607
+ :strength: example
608
+ :system: http://hl7.org/fhir/ValueSet/surface
609
+ :path: item.subSite
610
+ - :type: CodeableConcept
611
+ :strength: required
612
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
613
+ :path: item.adjudication.category
614
+ - :type: CodeableConcept
615
+ :strength: example
616
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
617
+ :path: item.adjudication.reason
618
+ - :type: CodeableConcept
619
+ :strength: required
620
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
621
+ :path: item.adjudication.category
622
+ - :type: CodeableConcept
623
+ :strength: example
624
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
625
+ :path: item.adjudication.reason
626
+ - :type: CodeableConcept
627
+ :strength: example
628
+ :system: http://hl7.org/fhir/ValueSet/adjudication
629
+ :path: item.adjudication.category
630
+ - :type: CodeableConcept
631
+ :strength: required
632
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPRejectCode
633
+ :path: item.adjudication.reason
634
+ - :type: CodeableConcept
635
+ :strength: example
636
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
637
+ :path: item.detail.revenue
638
+ - :type: CodeableConcept
639
+ :strength: example
640
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
641
+ :path: item.detail.category
642
+ - :type: CodeableConcept
643
+ :strength: required
644
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANationalDrugCode
645
+ :path: item.detail.productOrService
646
+ - :type: CodeableConcept
647
+ :strength: example
648
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
649
+ :path: item.detail.modifier
650
+ - :type: CodeableConcept
651
+ :strength: example
652
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
653
+ :path: item.detail.programCode
654
+ - :type: CodeableConcept
655
+ :strength: example
656
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
657
+ :path: item.detail.subDetail.revenue
658
+ - :type: CodeableConcept
659
+ :strength: example
660
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
661
+ :path: item.detail.subDetail.category
662
+ - :type: CodeableConcept
663
+ :strength: example
664
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
665
+ :path: item.detail.subDetail.productOrService
666
+ - :type: CodeableConcept
667
+ :strength: example
668
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
669
+ :path: item.detail.subDetail.modifier
670
+ - :type: CodeableConcept
671
+ :strength: example
672
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
673
+ :path: item.detail.subDetail.programCode
674
+ - :type: CodeableConcept
675
+ :strength: example
676
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
677
+ :path: addItem.productOrService
678
+ - :type: CodeableConcept
679
+ :strength: example
680
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
681
+ :path: addItem.modifier
682
+ - :type: CodeableConcept
683
+ :strength: example
684
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
685
+ :path: addItem.programCode
686
+ - :type: CodeableConcept
687
+ :strength: example
688
+ :system: http://hl7.org/fhir/ValueSet/service-place
689
+ :path: addItem.location
690
+ - :type: CodeableConcept
691
+ :strength: example
692
+ :system: http://hl7.org/fhir/ValueSet/tooth
693
+ :path: addItem.bodySite
694
+ - :type: CodeableConcept
695
+ :strength: example
696
+ :system: http://hl7.org/fhir/ValueSet/surface
697
+ :path: addItem.subSite
698
+ - :type: CodeableConcept
699
+ :strength: example
700
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
701
+ :path: addItem.detail.productOrService
702
+ - :type: CodeableConcept
703
+ :strength: example
704
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
705
+ :path: addItem.detail.modifier
706
+ - :type: CodeableConcept
707
+ :strength: example
708
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
709
+ :path: addItem.detail.subDetail.productOrService
710
+ - :type: CodeableConcept
711
+ :strength: example
712
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
713
+ :path: addItem.detail.subDetail.modifier
714
+ - :type: CodeableConcept
715
+ :strength: extensible
716
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
717
+ :path: total.category
718
+ - :type: CodeableConcept
719
+ :strength: required
720
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
721
+ :path: total.category
722
+ - :type: CodeableConcept
723
+ :strength: required
724
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
725
+ :path: total.category
726
+ - :type: CodeableConcept
727
+ :strength: required
728
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
729
+ :path: payment.type
730
+ - :type: CodeableConcept
731
+ :strength: example
732
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
733
+ :path: payment.adjustmentReason
734
+ - :type: CodeableConcept
735
+ :strength: example
736
+ :system: http://hl7.org/fhir/ValueSet/forms
737
+ :path: formCode
738
+ - :type: code
739
+ :strength: required
740
+ :system: http://hl7.org/fhir/ValueSet/note-type
741
+ :path: processNote.type
742
+ - :type: CodeableConcept
743
+ :strength: preferred
744
+ :system: http://hl7.org/fhir/ValueSet/languages
745
+ :path: processNote.language
746
+ - :type: CodeableConcept
747
+ :strength: example
748
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
749
+ :path: benefitBalance.category
750
+ - :type: CodeableConcept
751
+ :strength: example
752
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
753
+ :path: benefitBalance.network
754
+ - :type: CodeableConcept
755
+ :strength: example
756
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
757
+ :path: benefitBalance.unit
758
+ - :type: CodeableConcept
759
+ :strength: example
760
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
761
+ :path: benefitBalance.term
762
+ - :type: CodeableConcept
763
+ :strength: example
764
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
765
+ :path: benefitBalance.financial.type
766
+ :references:
767
+ - :path: ExplanationOfBenefit.identifier.assigner
768
+ :profiles:
769
+ - http://hl7.org/fhir/StructureDefinition/Organization
770
+ - :path: ExplanationOfBenefit.patient
771
+ :profiles:
772
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
773
+ - :path: ExplanationOfBenefit.enterer
774
+ :profiles:
775
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
776
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
777
+ - :path: ExplanationOfBenefit.insurer
778
+ :profiles:
779
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
780
+ - :path: ExplanationOfBenefit.provider
781
+ :profiles:
782
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
783
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
784
+ - :path: ExplanationOfBenefit.related.claim
785
+ :profiles:
786
+ - http://hl7.org/fhir/StructureDefinition/Claim
787
+ - :path: ExplanationOfBenefit.prescription
788
+ :profiles:
789
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
790
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
791
+ - :path: ExplanationOfBenefit.originalPrescription
792
+ :profiles:
793
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
794
+ - :path: ExplanationOfBenefit.payee.party
795
+ :profiles:
796
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
797
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
798
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
799
+ - :path: ExplanationOfBenefit.referral
800
+ :profiles:
801
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
802
+ - :path: ExplanationOfBenefit.facility
803
+ :profiles:
804
+ - http://hl7.org/fhir/StructureDefinition/Location
805
+ - :path: ExplanationOfBenefit.claim
806
+ :profiles:
807
+ - http://hl7.org/fhir/StructureDefinition/Claim
808
+ - :path: ExplanationOfBenefit.claimResponse
809
+ :profiles:
810
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
811
+ - :path: ExplanationOfBenefit.careTeam.provider
812
+ :profiles:
813
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
814
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
815
+ - :path: ExplanationOfBenefit.procedure.udi
816
+ :profiles:
817
+ - http://hl7.org/fhir/StructureDefinition/Device
818
+ - :path: ExplanationOfBenefit.insurance.coverage
819
+ :profiles:
820
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
821
+ - :path: ExplanationOfBenefit.item.udi
822
+ :profiles:
823
+ - http://hl7.org/fhir/StructureDefinition/Device
824
+ - :path: ExplanationOfBenefit.item.encounter
825
+ :profiles:
826
+ - http://hl7.org/fhir/StructureDefinition/Encounter
827
+ - :path: ExplanationOfBenefit.item.detail.udi
828
+ :profiles:
829
+ - http://hl7.org/fhir/StructureDefinition/Device
830
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
831
+ :profiles:
832
+ - http://hl7.org/fhir/StructureDefinition/Device
833
+ - :path: ExplanationOfBenefit.addItem.provider
834
+ :profiles:
835
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
836
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
837
+ - http://hl7.org/fhir/StructureDefinition/Organization
838
+ :tests:
839
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_read_test
840
+ :file_name: explanation_of_benefit_pharmacy_read_test.rb
841
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_validation_test
842
+ :file_name: explanation_of_benefit_pharmacy_validation_test.rb
843
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_must_support_test
844
+ :file_name: explanation_of_benefit_pharmacy_must_support_test.rb
845
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy__id_search_test
846
+ :file_name: explanation_of_benefit_pharmacy_id_search_test.rb
847
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_patient_search_test
848
+ :file_name: explanation_of_benefit_pharmacy_patient_search_test.rb
849
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy__lastUpdated_search_test
850
+ :file_name: explanation_of_benefit_pharmacy_lastupdated_search_test.rb
851
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_type_search_test
852
+ :file_name: explanation_of_benefit_pharmacy_type_search_test.rb
853
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_identifier_search_test
854
+ :file_name: explanation_of_benefit_pharmacy_identifier_search_test.rb
855
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_service_date_search_test
856
+ :file_name: explanation_of_benefit_pharmacy_service_date_search_test.rb
857
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_patient_search_test
858
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_patient_search_test.rb
859
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_provider_search_test
860
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_provider_search_test.rb
861
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_careteam_search_test
862
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_careteam_search_test.rb
863
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_coverage_search_test
864
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_coverage_search_test.rb
865
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_insurer_search_test
866
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_insurer_search_test.rb
867
+ - :id: c4bb_v110_explanation_of_benefit_pharmacy_include_ExplanationOfBenefit_All_search_test
868
+ :file_name: explanation_of_benefit_pharmacy_explanation_of_benefit_all_search_test.rb
869
+ :id: c4bb_v110_explanation_of_benefit_pharmacy
870
+ :file_name: explanation_of_benefit_pharmacy_group.rb
871
+ :delayed_references:
872
+ - :path: insurer
873
+ :resources:
874
+ - Organization
875
+ - :path: provider
876
+ :resources:
877
+ - Organization
878
+ - Practitioner
879
+ - :path: payee.party
880
+ :resources:
881
+ - Organization
882
+ - Practitioner
883
+ - :path: careTeam.provider
884
+ :resources:
885
+ - Organization
886
+ - Practitioner
887
+ - :path: insurance.coverage
888
+ :resources:
889
+ - Coverage