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_professional_non_clinician/metadata.yml ADDED
@@ -0,0 +1,870 @@
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+ ---
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+ :name: C4BB_ExplanationOfBenefit_Professional_NonClinician
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+ :class_name: C4bbExplanationofbenefitProfessionalNonclinicianSequence
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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-Professional-NonClinician
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+ :profile_name: C4BB ExplanationOfBenefit Professional NonClinician
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+ :profile_version: 1.1.0
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+ :title: ExplanationOfBenefit Professional NonClinician
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+ :short_description: Verify support for the server capabilities required by the C4BB
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+ ExplanationOfBenefit Professional NonClinician.
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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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+ - professional
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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
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+ - payee.type
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+ - careTeam.role
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+ - careTeam.qualification
112
+ - supportingInfo.code
113
+ - supportingInfo.code
114
+ - diagnosis.diagnosisCodeableConcept
115
+ - diagnosis.type
116
+ - item.productOrService
117
+ - item.modifier
118
+ - item.locationCodeableConcept
119
+ - item.adjudication.category
120
+ - item.adjudication.category
121
+ - item.adjudication.reason
122
+ - item.adjudication.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:performingnetworkcontractingstatus
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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: performingnetworkcontractingstatus
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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:servicefacility
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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: servicefacility
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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:benefitpaymentstatus
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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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+ - innetwork
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+ - outofnetwork
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+ - other
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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.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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+ :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: professional
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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: 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: careTeam.qualification
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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: performingnetworkcontractingstatus
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+ - :path: supportingInfo.code
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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: servicefacility
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+ - :path: diagnosis
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+ - :path: diagnosis.diagnosis[x]
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+ - :path: diagnosis.type
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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
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+ - :path: item.productOrService
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+ - :path: item.modifier
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+ - :path: item.noteNumber
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+ - :path: item.adjudication
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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.adjudication.category
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+ - :path: item.adjudication.category.coding.code
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+ :fixed_value: allowedunits
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+ - :path: total
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+ - :path: total.category
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+ - :path: payment
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+ - :path: payment.type
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+ - :path: processNote
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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
309
+ - ExplanationOfBenefit.identifier.type
310
+ - ExplanationOfBenefit.status
311
+ - ExplanationOfBenefit.type
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+ - ExplanationOfBenefit.use
313
+ - ExplanationOfBenefit.patient
314
+ - ExplanationOfBenefit.created
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+ - ExplanationOfBenefit.insurer
316
+ - ExplanationOfBenefit.provider
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+ - ExplanationOfBenefit.related.relationship
318
+ - ExplanationOfBenefit.related.reference
319
+ - ExplanationOfBenefit.payee.type
320
+ - ExplanationOfBenefit.payee.party
321
+ - ExplanationOfBenefit.outcome
322
+ - ExplanationOfBenefit.careTeam.sequence
323
+ - ExplanationOfBenefit.careTeam.provider
324
+ - ExplanationOfBenefit.careTeam.role
325
+ - ExplanationOfBenefit.supportingInfo.sequence
326
+ - ExplanationOfBenefit.supportingInfo.category
327
+ - ExplanationOfBenefit.supportingInfo.code
328
+ - ExplanationOfBenefit.supportingInfo.timing[x]
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+ - ExplanationOfBenefit.supportingInfo.value[x]
330
+ - ExplanationOfBenefit.diagnosis
331
+ - ExplanationOfBenefit.diagnosis.sequence
332
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
333
+ - ExplanationOfBenefit.diagnosis.type
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+ - ExplanationOfBenefit.procedure.sequence
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+ - ExplanationOfBenefit.procedure.procedure[x]
336
+ - ExplanationOfBenefit.insurance
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+ - ExplanationOfBenefit.insurance.focal
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+ - ExplanationOfBenefit.insurance.coverage
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+ - ExplanationOfBenefit.item.sequence
340
+ - ExplanationOfBenefit.item.productOrService
341
+ - ExplanationOfBenefit.item.adjudication
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+ - ExplanationOfBenefit.item.adjudication.category
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+ - ExplanationOfBenefit.item.adjudication.amount
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+ - ExplanationOfBenefit.item.adjudication.reason
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+ - ExplanationOfBenefit.item.detail.sequence
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+ - ExplanationOfBenefit.item.detail.productOrService
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+ - ExplanationOfBenefit.item.detail.subDetail.sequence
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+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
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+ - ExplanationOfBenefit.addItem.productOrService
350
+ - ExplanationOfBenefit.addItem.detail.productOrService
351
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
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+ - ExplanationOfBenefit.total
353
+ - ExplanationOfBenefit.total.category
354
+ - ExplanationOfBenefit.total.amount
355
+ - ExplanationOfBenefit.benefitBalance.category
356
+ - ExplanationOfBenefit.benefitBalance.financial.type
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+ :bindings:
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+ - :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
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+ :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
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+ :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
387
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/claim-subtype
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+ :path: subType
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+ - :type: code
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+ :strength: required
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+ :system: http://hl7.org/fhir/ValueSet/claim-use
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+ :path: use
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+ - :type: CodeableConcept
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+ :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
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
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+ :path: fundsReserveRequested
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
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+ :path: fundsReserve
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+ - :type: CodeableConcept
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+ :strength: required
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
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+ :path: related.relationship
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+ - :type: CodeableConcept
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+ :strength: required
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
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+ :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
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+ :path: outcome
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+ - :type: CodeableConcept
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+ :strength: required
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProfessionalAndNonClinicianCareTeamRole
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+ :path: careTeam.role
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+ - :type: CodeableConcept
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+ :strength: required
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+ :system: http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty
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+ :path: careTeam.qualification
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
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+ :path: supportingInfo.category
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/claim-exception
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+ :path: supportingInfo.code
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+ - :type: Coding
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
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+ :path: supportingInfo.reason
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
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+ :path: supportingInfo.category
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+ - :type: CodeableConcept
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+ :strength: required
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
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+ :path: supportingInfo.code
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+ - :type: Coding
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+ :strength: example
448
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
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+ :path: supportingInfo.reason
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
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+ :path: supportingInfo.category
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+ - :type: CodeableConcept
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+ :strength: required
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
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+ :path: supportingInfo.code
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+ - :type: Coding
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+ :strength: example
460
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
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+ :path: supportingInfo.reason
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
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+ :path: supportingInfo.category
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/claim-exception
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+ :path: supportingInfo.code
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+ - :type: Coding
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
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+ :path: supportingInfo.reason
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+ - :type: CodeableConcept
475
+ :strength: extensible
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+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
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+ :path: supportingInfo.category
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+ - :type: CodeableConcept
479
+ :strength: example
480
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
481
+ :path: supportingInfo.code
482
+ - :type: Coding
483
+ :strength: example
484
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
485
+ :path: supportingInfo.reason
486
+ - :type: CodeableConcept
487
+ :strength: extensible
488
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
489
+ :path: supportingInfo.category
490
+ - :type: CodeableConcept
491
+ :strength: example
492
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
493
+ :path: supportingInfo.code
494
+ - :type: Coding
495
+ :strength: example
496
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
497
+ :path: supportingInfo.reason
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: required
512
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes
513
+ :path: diagnosis.diagnosis
514
+ - :type: CodeableConcept
515
+ :strength: required
516
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProfessionalAndNonClinicianDiagnosisType
517
+ :path: diagnosis.type
518
+ - :type: CodeableConcept
519
+ :strength: example
520
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
521
+ :path: diagnosis.onAdmission
522
+ - :type: CodeableConcept
523
+ :strength: example
524
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
525
+ :path: diagnosis.packageCode
526
+ - :type: CodeableConcept
527
+ :strength: example
528
+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
529
+ :path: procedure.type
530
+ - :type: CodeableConcept
531
+ :strength: example
532
+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
533
+ :path: procedure.procedure
534
+ - :type: CodeableConcept
535
+ :strength: extensible
536
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
537
+ :path: accident.type
538
+ - :type: CodeableConcept
539
+ :strength: example
540
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
541
+ :path: item.revenue
542
+ - :type: CodeableConcept
543
+ :strength: example
544
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
545
+ :path: item.category
546
+ - :type: CodeableConcept
547
+ :strength: required
548
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes
549
+ :path: item.productOrService
550
+ - :type: CodeableConcept
551
+ :strength: required
552
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers
553
+ :path: item.modifier
554
+ - :type: CodeableConcept
555
+ :strength: example
556
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
557
+ :path: item.programCode
558
+ - :type: CodeableConcept
559
+ :strength: required
560
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/CMSPlaceofServiceCodes
561
+ :path: item.location
562
+ - :type: CodeableConcept
563
+ :strength: example
564
+ :system: http://hl7.org/fhir/ValueSet/tooth
565
+ :path: item.bodySite
566
+ - :type: CodeableConcept
567
+ :strength: example
568
+ :system: http://hl7.org/fhir/ValueSet/surface
569
+ :path: item.subSite
570
+ - :type: CodeableConcept
571
+ :strength: required
572
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
573
+ :path: item.adjudication.category
574
+ - :type: CodeableConcept
575
+ :strength: example
576
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
577
+ :path: item.adjudication.reason
578
+ - :type: CodeableConcept
579
+ :strength: required
580
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
581
+ :path: item.adjudication.category
582
+ - :type: CodeableConcept
583
+ :strength: example
584
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
585
+ :path: item.adjudication.reason
586
+ - :type: CodeableConcept
587
+ :strength: example
588
+ :system: http://hl7.org/fhir/ValueSet/adjudication
589
+ :path: item.adjudication.category
590
+ - :type: CodeableConcept
591
+ :strength: required
592
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
593
+ :path: item.adjudication.reason
594
+ - :type: CodeableConcept
595
+ :strength: required
596
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
597
+ :path: item.adjudication.category
598
+ - :type: CodeableConcept
599
+ :strength: example
600
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
601
+ :path: item.adjudication.reason
602
+ - :type: CodeableConcept
603
+ :strength: example
604
+ :system: http://hl7.org/fhir/ValueSet/adjudication
605
+ :path: item.adjudication.category
606
+ - :type: CodeableConcept
607
+ :strength: example
608
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
609
+ :path: item.adjudication.reason
610
+ - :type: CodeableConcept
611
+ :strength: example
612
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
613
+ :path: item.detail.revenue
614
+ - :type: CodeableConcept
615
+ :strength: example
616
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
617
+ :path: item.detail.category
618
+ - :type: CodeableConcept
619
+ :strength: example
620
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
621
+ :path: item.detail.productOrService
622
+ - :type: CodeableConcept
623
+ :strength: example
624
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
625
+ :path: item.detail.modifier
626
+ - :type: CodeableConcept
627
+ :strength: example
628
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
629
+ :path: item.detail.programCode
630
+ - :type: CodeableConcept
631
+ :strength: example
632
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
633
+ :path: item.detail.subDetail.revenue
634
+ - :type: CodeableConcept
635
+ :strength: example
636
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
637
+ :path: item.detail.subDetail.category
638
+ - :type: CodeableConcept
639
+ :strength: example
640
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
641
+ :path: item.detail.subDetail.productOrService
642
+ - :type: CodeableConcept
643
+ :strength: example
644
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
645
+ :path: item.detail.subDetail.modifier
646
+ - :type: CodeableConcept
647
+ :strength: example
648
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
649
+ :path: item.detail.subDetail.programCode
650
+ - :type: CodeableConcept
651
+ :strength: example
652
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
653
+ :path: addItem.productOrService
654
+ - :type: CodeableConcept
655
+ :strength: example
656
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
657
+ :path: addItem.modifier
658
+ - :type: CodeableConcept
659
+ :strength: example
660
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
661
+ :path: addItem.programCode
662
+ - :type: CodeableConcept
663
+ :strength: example
664
+ :system: http://hl7.org/fhir/ValueSet/service-place
665
+ :path: addItem.location
666
+ - :type: CodeableConcept
667
+ :strength: example
668
+ :system: http://hl7.org/fhir/ValueSet/tooth
669
+ :path: addItem.bodySite
670
+ - :type: CodeableConcept
671
+ :strength: example
672
+ :system: http://hl7.org/fhir/ValueSet/surface
673
+ :path: addItem.subSite
674
+ - :type: CodeableConcept
675
+ :strength: example
676
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
677
+ :path: addItem.detail.productOrService
678
+ - :type: CodeableConcept
679
+ :strength: example
680
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
681
+ :path: addItem.detail.modifier
682
+ - :type: CodeableConcept
683
+ :strength: example
684
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
685
+ :path: addItem.detail.subDetail.productOrService
686
+ - :type: CodeableConcept
687
+ :strength: example
688
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
689
+ :path: addItem.detail.subDetail.modifier
690
+ - :type: CodeableConcept
691
+ :strength: extensible
692
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
693
+ :path: total.category
694
+ - :type: CodeableConcept
695
+ :strength: required
696
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
697
+ :path: total.category
698
+ - :type: CodeableConcept
699
+ :strength: required
700
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
701
+ :path: payment.type
702
+ - :type: CodeableConcept
703
+ :strength: example
704
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
705
+ :path: payment.adjustmentReason
706
+ - :type: CodeableConcept
707
+ :strength: example
708
+ :system: http://hl7.org/fhir/ValueSet/forms
709
+ :path: formCode
710
+ - :type: code
711
+ :strength: required
712
+ :system: http://hl7.org/fhir/ValueSet/note-type
713
+ :path: processNote.type
714
+ - :type: CodeableConcept
715
+ :strength: preferred
716
+ :system: http://hl7.org/fhir/ValueSet/languages
717
+ :path: processNote.language
718
+ - :type: CodeableConcept
719
+ :strength: example
720
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
721
+ :path: benefitBalance.category
722
+ - :type: CodeableConcept
723
+ :strength: example
724
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
725
+ :path: benefitBalance.network
726
+ - :type: CodeableConcept
727
+ :strength: example
728
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
729
+ :path: benefitBalance.unit
730
+ - :type: CodeableConcept
731
+ :strength: example
732
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
733
+ :path: benefitBalance.term
734
+ - :type: CodeableConcept
735
+ :strength: example
736
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
737
+ :path: benefitBalance.financial.type
738
+ :references:
739
+ - :path: ExplanationOfBenefit.identifier.assigner
740
+ :profiles:
741
+ - http://hl7.org/fhir/StructureDefinition/Organization
742
+ - :path: ExplanationOfBenefit.patient
743
+ :profiles:
744
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
745
+ - :path: ExplanationOfBenefit.enterer
746
+ :profiles:
747
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
748
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
749
+ - :path: ExplanationOfBenefit.insurer
750
+ :profiles:
751
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
752
+ - :path: ExplanationOfBenefit.provider
753
+ :profiles:
754
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
755
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
756
+ - :path: ExplanationOfBenefit.related.claim
757
+ :profiles:
758
+ - http://hl7.org/fhir/StructureDefinition/Claim
759
+ - :path: ExplanationOfBenefit.prescription
760
+ :profiles:
761
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
762
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
763
+ - :path: ExplanationOfBenefit.originalPrescription
764
+ :profiles:
765
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
766
+ - :path: ExplanationOfBenefit.payee.party
767
+ :profiles:
768
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
769
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
770
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
771
+ - :path: ExplanationOfBenefit.referral
772
+ :profiles:
773
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
774
+ - :path: ExplanationOfBenefit.facility
775
+ :profiles:
776
+ - http://hl7.org/fhir/StructureDefinition/Location
777
+ - :path: ExplanationOfBenefit.claim
778
+ :profiles:
779
+ - http://hl7.org/fhir/StructureDefinition/Claim
780
+ - :path: ExplanationOfBenefit.claimResponse
781
+ :profiles:
782
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
783
+ - :path: ExplanationOfBenefit.careTeam.provider
784
+ :profiles:
785
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
786
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
787
+ - :path: ExplanationOfBenefit.supportingInfo.value[x]
788
+ :profiles:
789
+ - http://hl7.org/fhir/StructureDefinition/Resource
790
+ - :path: ExplanationOfBenefit.supportingInfo.value[x]
791
+ :profiles:
792
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
793
+ - :path: ExplanationOfBenefit.procedure.udi
794
+ :profiles:
795
+ - http://hl7.org/fhir/StructureDefinition/Device
796
+ - :path: ExplanationOfBenefit.insurance.coverage
797
+ :profiles:
798
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
799
+ - :path: ExplanationOfBenefit.item.udi
800
+ :profiles:
801
+ - http://hl7.org/fhir/StructureDefinition/Device
802
+ - :path: ExplanationOfBenefit.item.encounter
803
+ :profiles:
804
+ - http://hl7.org/fhir/StructureDefinition/Encounter
805
+ - :path: ExplanationOfBenefit.item.detail.udi
806
+ :profiles:
807
+ - http://hl7.org/fhir/StructureDefinition/Device
808
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
809
+ :profiles:
810
+ - http://hl7.org/fhir/StructureDefinition/Device
811
+ - :path: ExplanationOfBenefit.addItem.provider
812
+ :profiles:
813
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
814
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
815
+ - http://hl7.org/fhir/StructureDefinition/Organization
816
+ :tests:
817
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_read_test
818
+ :file_name: explanation_of_benefit_professional_non_clinician_read_test.rb
819
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_validation_test
820
+ :file_name: explanation_of_benefit_professional_non_clinician_validation_test.rb
821
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_must_support_test
822
+ :file_name: explanation_of_benefit_professional_non_clinician_must_support_test.rb
823
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician__id_search_test
824
+ :file_name: explanation_of_benefit_professional_non_clinician_id_search_test.rb
825
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_patient_search_test
826
+ :file_name: explanation_of_benefit_professional_non_clinician_patient_search_test.rb
827
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician__lastUpdated_search_test
828
+ :file_name: explanation_of_benefit_professional_non_clinician_lastupdated_search_test.rb
829
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_type_search_test
830
+ :file_name: explanation_of_benefit_professional_non_clinician_type_search_test.rb
831
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_identifier_search_test
832
+ :file_name: explanation_of_benefit_professional_non_clinician_identifier_search_test.rb
833
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_service_date_search_test
834
+ :file_name: explanation_of_benefit_professional_non_clinician_service_date_search_test.rb
835
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_include_ExplanationOfBenefit_patient_search_test
836
+ :file_name: explanation_of_benefit_professional_non_clinician_explanation_of_benefit_patient_search_test.rb
837
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_include_ExplanationOfBenefit_provider_search_test
838
+ :file_name: explanation_of_benefit_professional_non_clinician_explanation_of_benefit_provider_search_test.rb
839
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_include_ExplanationOfBenefit_careteam_search_test
840
+ :file_name: explanation_of_benefit_professional_non_clinician_explanation_of_benefit_careteam_search_test.rb
841
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_include_ExplanationOfBenefit_coverage_search_test
842
+ :file_name: explanation_of_benefit_professional_non_clinician_explanation_of_benefit_coverage_search_test.rb
843
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_include_ExplanationOfBenefit_insurer_search_test
844
+ :file_name: explanation_of_benefit_professional_non_clinician_explanation_of_benefit_insurer_search_test.rb
845
+ - :id: c4bb_v110_explanation_of_benefit_professional_non_clinician_include_ExplanationOfBenefit_All_search_test
846
+ :file_name: explanation_of_benefit_professional_non_clinician_explanation_of_benefit_all_search_test.rb
847
+ :id: c4bb_v110_explanation_of_benefit_professional_non_clinician
848
+ :file_name: explanation_of_benefit_professional_non_clinician_group.rb
849
+ :delayed_references:
850
+ - :path: insurer
851
+ :resources:
852
+ - Organization
853
+ - :path: provider
854
+ :resources:
855
+ - Organization
856
+ - Practitioner
857
+ - :path: payee.party
858
+ :resources:
859
+ - Organization
860
+ - Practitioner
861
+ - :path: careTeam.provider
862
+ :resources:
863
+ - Organization
864
+ - Practitioner
865
+ - :path: supportingInfo.value[x]
866
+ :resources:
867
+ - Organization
868
+ - :path: insurance.coverage
869
+ :resources:
870
+ - Coverage