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/metadata.yml ADDED
@@ -0,0 +1,4700 @@
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+ ---
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+ :ig_version: v1.1.0
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+ :groups:
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+ - :name: C4BB_Coverage
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+ :class_name: C4bbCoverageSequence
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+ :version: v1.1.0
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+ :reformatted_version: v110
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+ :resource: Coverage
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+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
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+ :profile_name: C4BB Coverage
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+ :profile_version: 1.1.0
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+ :title: Coverage
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+ :short_description: Verify support for the server capabilities required by the C4BB
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+ Coverage.
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+ :interactions:
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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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+ :search_definitions: {}
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+ :include_params:
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+ - Coverage:payor
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+ :revincludes: []
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+ :required_concepts:
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+ - relationship
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+ :must_supports:
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+ :extensions: []
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+ :slices:
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+ - :name: Coverage.class:group
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+ :path: class
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: type
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+ :code: group
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+ :system: http://terminology.hl7.org/CodeSystem/coverage-class
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+ - :name: Coverage.class:plan
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+ :path: class
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+ :discriminator:
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+ :type: patternCodeableConcept
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+ :path: type
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+ :code: plan
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+ :system: http://terminology.hl7.org/CodeSystem/coverage-class
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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: status
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+ - :path: subscriberId
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+ - :path: beneficiary
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+ :types:
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+ - Reference
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+ - :path: relationship
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+ - :path: period
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+ - :path: payor
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+ :types:
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+ - Reference
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+ - :path: class
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+ - :path: class.value
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+ - :path: class.name
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+ :mandatory_elements:
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+ - Coverage.meta
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+ - Coverage.meta.lastUpdated
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+ - Coverage.meta.profile
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+ - Coverage.status
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+ - Coverage.subscriberId
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+ - Coverage.beneficiary
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+ - Coverage.relationship
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+ - Coverage.payor
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+ - Coverage.class.type
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+ - Coverage.class.value
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+ - Coverage.costToBeneficiary.value[x]
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+ - Coverage.costToBeneficiary.exception.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/fm-status
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+ :path: status
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+ - :type: CodeableConcept
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+ :strength: preferred
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+ :system: http://hl7.org/fhir/ValueSet/coverage-type
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+ :path: type
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+ - :type: CodeableConcept
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+ :strength: required
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+ :system: http://hl7.org/fhir/ValueSet/subscriber-relationship
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+ :path: relationship
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/ValueSet/coverage-class
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+ :path: class.type
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/ValueSet/coverage-class
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+ :path: class.type
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/ValueSet/coverage-class
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+ :path: class.type
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+ - :type: CodeableConcept
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+ :strength: extensible
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+ :system: http://hl7.org/fhir/ValueSet/coverage-copay-type
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+ :path: costToBeneficiary.type
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/coverage-financial-exception
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+ :path: costToBeneficiary.exception.type
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+ :references:
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+ - :path: Coverage.policyHolder
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+ :profiles:
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+ - http://hl7.org/fhir/StructureDefinition/Patient
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+ - http://hl7.org/fhir/StructureDefinition/RelatedPerson
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+ - http://hl7.org/fhir/StructureDefinition/Organization
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+ - :path: Coverage.subscriber
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+ :profiles:
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+ - http://hl7.org/fhir/StructureDefinition/Patient
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+ - http://hl7.org/fhir/StructureDefinition/RelatedPerson
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+ - :path: Coverage.beneficiary
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+ :profiles:
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+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
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+ - :path: Coverage.payor
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+ :profiles:
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+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
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+ - :path: Coverage.contract
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+ :profiles:
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+ - http://hl7.org/fhir/StructureDefinition/Contract
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+ :delayed_references:
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+ - :path: payor
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+ :resources:
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+ - Organization
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+ - :name: C4BB_ExplanationOfBenefit
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+ :class_name: C4bbExplanationofbenefitSequence
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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
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+ :profile_name: C4BB Explanation Of Benefit
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+ :profile_version: 1.1.0
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+ :title: Explanation Of Benefit
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+ :short_description: Verify support for the server capabilities required by the C4BB
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+ Explanation Of Benefit.
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+ :interactions:
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+ - :code: search-type
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+ :expectation: SHALL
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+ - :code: read
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+ :expectation: SHALL
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+ :operations: []
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+ :searches:
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+ - :names:
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+ - _id
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+ :expectation: SHALL
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+ - :names:
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+ - patient
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+ :expectation: SHALL
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+ - :names:
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+ - _lastUpdated
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+ :expectation: SHALL
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+ - :names:
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+ - type
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+ :expectation: SHALL
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+ - :names:
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+ - identifier
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+ :expectation: SHALL
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+ - :names:
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+ - service-date
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+ :expectation: SHALL
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+ :search_definitions:
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+ :_id:
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+ :paths: []
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+ :full_paths: []
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+ :values: []
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+ :contains_multiple: false
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+ :patient:
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+ :paths:
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+ - patient
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+ :full_paths:
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+ - ExplanationOfBenefit.patient
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+ :comparators: {}
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+ :values: []
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+ :type: Reference
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+ :contains_multiple: false
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+ :_lastUpdated:
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+ :paths: []
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+ :full_paths: []
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+ :values: []
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+ :contains_multiple: false
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+ :type:
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+ :paths:
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+ - type
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+ :full_paths:
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+ - ExplanationOfBenefit.type
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+ :comparators: {}
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+ :values:
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+ - institutional
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+ - oral
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+ - pharmacy
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+ - professional
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+ - vision
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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: &1
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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: &2 []
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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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+ - payment.type
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+ :must_supports:
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+ :extensions: []
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+ :slices: []
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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
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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: supportingInfo
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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.noteNumber
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+ - :path: item.adjudication.category
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+ - :path: total
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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
308
+ - ExplanationOfBenefit.identifier.type
309
+ - ExplanationOfBenefit.status
310
+ - ExplanationOfBenefit.type
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+ - ExplanationOfBenefit.use
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+ - ExplanationOfBenefit.patient
313
+ - ExplanationOfBenefit.created
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+ - ExplanationOfBenefit.insurer
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+ - ExplanationOfBenefit.provider
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+ - ExplanationOfBenefit.related.relationship
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+ - ExplanationOfBenefit.related.reference
318
+ - ExplanationOfBenefit.payee.type
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+ - ExplanationOfBenefit.payee.party
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+ - ExplanationOfBenefit.outcome
321
+ - ExplanationOfBenefit.careTeam.sequence
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+ - ExplanationOfBenefit.careTeam.provider
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+ - ExplanationOfBenefit.supportingInfo.sequence
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+ - ExplanationOfBenefit.supportingInfo.category
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+ - ExplanationOfBenefit.diagnosis.sequence
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+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
327
+ - ExplanationOfBenefit.procedure.sequence
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+ - ExplanationOfBenefit.procedure.procedure[x]
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+ - ExplanationOfBenefit.insurance
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+ - ExplanationOfBenefit.insurance.focal
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+ - ExplanationOfBenefit.insurance.coverage
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+ - ExplanationOfBenefit.item.sequence
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+ - ExplanationOfBenefit.item.productOrService
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+ - ExplanationOfBenefit.item.adjudication.category
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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
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+ - ExplanationOfBenefit.addItem.detail.productOrService
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+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
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+ - ExplanationOfBenefit.total
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+ - ExplanationOfBenefit.total.category
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+ - ExplanationOfBenefit.total.amount
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+ - ExplanationOfBenefit.benefitBalance.category
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+ - 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
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+ :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: example
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+ :system: http://hl7.org/fhir/ValueSet/claim-careteamrole
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+ :path: careTeam.role
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/provider-qualification
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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: example
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+ :system: http://hl7.org/fhir/ValueSet/icd-10
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+ :path: diagnosis.diagnosis
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosistype
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+ :path: diagnosis.type
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
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+ :path: diagnosis.onAdmission
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
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+ :path: diagnosis.packageCode
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
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+ :path: procedure.type
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+ - :type: CodeableConcept
449
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
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+ :path: procedure.procedure
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+ - :type: CodeableConcept
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+ :strength: extensible
454
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
455
+ :path: accident.type
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+ - :type: CodeableConcept
457
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
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+ :path: item.revenue
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+ - :type: CodeableConcept
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+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
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+ :path: item.category
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+ - :type: CodeableConcept
465
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/service-uscls
467
+ :path: item.productOrService
468
+ - :type: CodeableConcept
469
+ :strength: example
470
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
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+ :path: item.modifier
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+ - :type: CodeableConcept
473
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
475
+ :path: item.programCode
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+ - :type: CodeableConcept
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+ :strength: example
478
+ :system: http://hl7.org/fhir/ValueSet/service-place
479
+ :path: item.location
480
+ - :type: CodeableConcept
481
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/tooth
483
+ :path: item.bodySite
484
+ - :type: CodeableConcept
485
+ :strength: example
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+ :system: http://hl7.org/fhir/ValueSet/surface
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+ :path: item.subSite
488
+ - :type: CodeableConcept
489
+ :strength: example
490
+ :system: http://hl7.org/fhir/ValueSet/adjudication
491
+ :path: item.adjudication.category
492
+ - :type: CodeableConcept
493
+ :strength: example
494
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
495
+ :path: item.adjudication.reason
496
+ - :type: CodeableConcept
497
+ :strength: example
498
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
499
+ :path: item.detail.revenue
500
+ - :type: CodeableConcept
501
+ :strength: example
502
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
503
+ :path: item.detail.category
504
+ - :type: CodeableConcept
505
+ :strength: example
506
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
507
+ :path: item.detail.productOrService
508
+ - :type: CodeableConcept
509
+ :strength: example
510
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
511
+ :path: item.detail.modifier
512
+ - :type: CodeableConcept
513
+ :strength: example
514
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
515
+ :path: item.detail.programCode
516
+ - :type: CodeableConcept
517
+ :strength: example
518
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
519
+ :path: item.detail.subDetail.revenue
520
+ - :type: CodeableConcept
521
+ :strength: example
522
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
523
+ :path: item.detail.subDetail.category
524
+ - :type: CodeableConcept
525
+ :strength: example
526
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
527
+ :path: item.detail.subDetail.productOrService
528
+ - :type: CodeableConcept
529
+ :strength: example
530
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
531
+ :path: item.detail.subDetail.modifier
532
+ - :type: CodeableConcept
533
+ :strength: example
534
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
535
+ :path: item.detail.subDetail.programCode
536
+ - :type: CodeableConcept
537
+ :strength: example
538
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
539
+ :path: addItem.productOrService
540
+ - :type: CodeableConcept
541
+ :strength: example
542
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
543
+ :path: addItem.modifier
544
+ - :type: CodeableConcept
545
+ :strength: example
546
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
547
+ :path: addItem.programCode
548
+ - :type: CodeableConcept
549
+ :strength: example
550
+ :system: http://hl7.org/fhir/ValueSet/service-place
551
+ :path: addItem.location
552
+ - :type: CodeableConcept
553
+ :strength: example
554
+ :system: http://hl7.org/fhir/ValueSet/tooth
555
+ :path: addItem.bodySite
556
+ - :type: CodeableConcept
557
+ :strength: example
558
+ :system: http://hl7.org/fhir/ValueSet/surface
559
+ :path: addItem.subSite
560
+ - :type: CodeableConcept
561
+ :strength: example
562
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
563
+ :path: addItem.detail.productOrService
564
+ - :type: CodeableConcept
565
+ :strength: example
566
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
567
+ :path: addItem.detail.modifier
568
+ - :type: CodeableConcept
569
+ :strength: example
570
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
571
+ :path: addItem.detail.subDetail.productOrService
572
+ - :type: CodeableConcept
573
+ :strength: example
574
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
575
+ :path: addItem.detail.subDetail.modifier
576
+ - :type: CodeableConcept
577
+ :strength: example
578
+ :system: http://hl7.org/fhir/ValueSet/adjudication
579
+ :path: total.category
580
+ - :type: CodeableConcept
581
+ :strength: required
582
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
583
+ :path: payment.type
584
+ - :type: CodeableConcept
585
+ :strength: example
586
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
587
+ :path: payment.adjustmentReason
588
+ - :type: CodeableConcept
589
+ :strength: example
590
+ :system: http://hl7.org/fhir/ValueSet/forms
591
+ :path: formCode
592
+ - :type: code
593
+ :strength: required
594
+ :system: http://hl7.org/fhir/ValueSet/note-type
595
+ :path: processNote.type
596
+ - :type: CodeableConcept
597
+ :strength: preferred
598
+ :system: http://hl7.org/fhir/ValueSet/languages
599
+ :path: processNote.language
600
+ - :type: CodeableConcept
601
+ :strength: example
602
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
603
+ :path: benefitBalance.category
604
+ - :type: CodeableConcept
605
+ :strength: example
606
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
607
+ :path: benefitBalance.network
608
+ - :type: CodeableConcept
609
+ :strength: example
610
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
611
+ :path: benefitBalance.unit
612
+ - :type: CodeableConcept
613
+ :strength: example
614
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
615
+ :path: benefitBalance.term
616
+ - :type: CodeableConcept
617
+ :strength: example
618
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
619
+ :path: benefitBalance.financial.type
620
+ :references:
621
+ - :path: ExplanationOfBenefit.identifier.assigner
622
+ :profiles:
623
+ - http://hl7.org/fhir/StructureDefinition/Organization
624
+ - :path: ExplanationOfBenefit.patient
625
+ :profiles:
626
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
627
+ - :path: ExplanationOfBenefit.enterer
628
+ :profiles:
629
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
630
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
631
+ - :path: ExplanationOfBenefit.insurer
632
+ :profiles:
633
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
634
+ - :path: ExplanationOfBenefit.provider
635
+ :profiles:
636
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
637
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
638
+ - :path: ExplanationOfBenefit.related.claim
639
+ :profiles:
640
+ - http://hl7.org/fhir/StructureDefinition/Claim
641
+ - :path: ExplanationOfBenefit.prescription
642
+ :profiles:
643
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
644
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
645
+ - :path: ExplanationOfBenefit.originalPrescription
646
+ :profiles:
647
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
648
+ - :path: ExplanationOfBenefit.payee.party
649
+ :profiles:
650
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
651
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
652
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
653
+ - :path: ExplanationOfBenefit.referral
654
+ :profiles:
655
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
656
+ - :path: ExplanationOfBenefit.facility
657
+ :profiles:
658
+ - http://hl7.org/fhir/StructureDefinition/Location
659
+ - :path: ExplanationOfBenefit.claim
660
+ :profiles:
661
+ - http://hl7.org/fhir/StructureDefinition/Claim
662
+ - :path: ExplanationOfBenefit.claimResponse
663
+ :profiles:
664
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
665
+ - :path: ExplanationOfBenefit.careTeam.provider
666
+ :profiles:
667
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
668
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
669
+ - :path: ExplanationOfBenefit.procedure.udi
670
+ :profiles:
671
+ - http://hl7.org/fhir/StructureDefinition/Device
672
+ - :path: ExplanationOfBenefit.insurance.coverage
673
+ :profiles:
674
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
675
+ - :path: ExplanationOfBenefit.item.udi
676
+ :profiles:
677
+ - http://hl7.org/fhir/StructureDefinition/Device
678
+ - :path: ExplanationOfBenefit.item.encounter
679
+ :profiles:
680
+ - http://hl7.org/fhir/StructureDefinition/Encounter
681
+ - :path: ExplanationOfBenefit.item.detail.udi
682
+ :profiles:
683
+ - http://hl7.org/fhir/StructureDefinition/Device
684
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
685
+ :profiles:
686
+ - http://hl7.org/fhir/StructureDefinition/Device
687
+ - :path: ExplanationOfBenefit.addItem.provider
688
+ :profiles:
689
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
690
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
691
+ - http://hl7.org/fhir/StructureDefinition/Organization
692
+ :delayed_references:
693
+ - :path: insurer
694
+ :resources:
695
+ - Organization
696
+ - :path: provider
697
+ :resources:
698
+ - Organization
699
+ - Practitioner
700
+ - :path: payee.party
701
+ :resources:
702
+ - Organization
703
+ - Practitioner
704
+ - :path: careTeam.provider
705
+ :resources:
706
+ - Organization
707
+ - Practitioner
708
+ - :path: insurance.coverage
709
+ :resources:
710
+ - Coverage
711
+ - :name: C4BB_ExplanationOfBenefit_Inpatient_Institutional
712
+ :class_name: C4bbExplanationofbenefitInpatientInstitutionalSequence
713
+ :version: v1.1.0
714
+ :reformatted_version: v110
715
+ :resource: ExplanationOfBenefit
716
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional
717
+ :profile_name: C4BB ExplanationOfBenefit Inpatient Institutional
718
+ :profile_version: 1.1.0
719
+ :title: ExplanationOfBenefit Inpatient Institutional
720
+ :short_description: Verify support for the server capabilities required by the C4BB
721
+ ExplanationOfBenefit Inpatient Institutional.
722
+ :interactions:
723
+ - :code: search-type
724
+ :expectation: SHALL
725
+ - :code: read
726
+ :expectation: SHALL
727
+ :operations: []
728
+ :searches:
729
+ - :names:
730
+ - _id
731
+ :expectation: SHALL
732
+ - :names:
733
+ - patient
734
+ :expectation: SHALL
735
+ - :names:
736
+ - _lastUpdated
737
+ :expectation: SHALL
738
+ - :names:
739
+ - type
740
+ :expectation: SHALL
741
+ - :names:
742
+ - identifier
743
+ :expectation: SHALL
744
+ - :names:
745
+ - service-date
746
+ :expectation: SHALL
747
+ :search_definitions:
748
+ :_id:
749
+ :paths: []
750
+ :full_paths: []
751
+ :values: []
752
+ :contains_multiple: false
753
+ :patient:
754
+ :paths:
755
+ - patient
756
+ :full_paths:
757
+ - ExplanationOfBenefit.patient
758
+ :comparators: {}
759
+ :values: []
760
+ :type: Reference
761
+ :contains_multiple: false
762
+ :_lastUpdated:
763
+ :paths: []
764
+ :full_paths: []
765
+ :values: []
766
+ :contains_multiple: false
767
+ :type:
768
+ :paths:
769
+ - type
770
+ :full_paths:
771
+ - ExplanationOfBenefit.type
772
+ :comparators: {}
773
+ :values:
774
+ - institutional
775
+ :type: CodeableConcept
776
+ :contains_multiple: false
777
+ :identifier:
778
+ :paths:
779
+ - identifier
780
+ :full_paths:
781
+ - ExplanationOfBenefit.identifier
782
+ :comparators: {}
783
+ :values: []
784
+ :type: Identifier
785
+ :contains_multiple: true
786
+ :service-date:
787
+ :paths:
788
+ - 'billablePeriod '
789
+ - " item.serviced"
790
+ :full_paths:
791
+ - 'ExplanationOfBenefit.billablePeriod '
792
+ - " ExplanationOfBenefit.item.serviced"
793
+ :comparators:
794
+ :eq: MAY
795
+ :ne: MAY
796
+ :gt: MAY
797
+ :ge: MAY
798
+ :lt: MAY
799
+ :le: MAY
800
+ :sa: MAY
801
+ :eb: MAY
802
+ :ap: MAY
803
+ :values: []
804
+ :type: date
805
+ :contains_multiple: false
806
+ :include_params: *1
807
+ :revincludes: *2
808
+ :required_concepts:
809
+ - type
810
+ - subType
811
+ - priority
812
+ - related.relationship
813
+ - payee.type
814
+ - careTeam.role
815
+ - supportingInfo.code
816
+ - supportingInfo.code
817
+ - supportingInfo.code
818
+ - supportingInfo.code
819
+ - supportingInfo.code
820
+ - diagnosis.diagnosisCodeableConcept
821
+ - diagnosis.type
822
+ - diagnosis.onAdmission
823
+ - procedure.type
824
+ - procedure.procedureCodeableConcept
825
+ - item.revenue
826
+ - item.productOrService
827
+ - item.modifier
828
+ - item.adjudication.category
829
+ - item.adjudication.category
830
+ - item.adjudication.reason
831
+ - adjudication.category
832
+ - adjudication.category
833
+ - adjudication.reason
834
+ - total.category
835
+ - total.category
836
+ - payment.type
837
+ :must_supports:
838
+ :extensions: []
839
+ :slices:
840
+ - :name: ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus
841
+ :path: supportingInfo
842
+ :discriminator:
843
+ :type: patternCodeableConcept
844
+ :path: category
845
+ :code: billingnetworkcontractingstatus
846
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
847
+ - :name: ExplanationOfBenefit.supportingInfo:admissionperiod
848
+ :path: supportingInfo
849
+ :discriminator:
850
+ :type: patternCodeableConcept
851
+ :path: category
852
+ :code: admissionperiod
853
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
854
+ - :name: ExplanationOfBenefit.supportingInfo:clmrecvddate
855
+ :path: supportingInfo
856
+ :discriminator:
857
+ :type: patternCodeableConcept
858
+ :path: category
859
+ :code: clmrecvddate
860
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
861
+ - :name: ExplanationOfBenefit.supportingInfo:typeofbill
862
+ :path: supportingInfo
863
+ :discriminator:
864
+ :type: patternCodeableConcept
865
+ :path: category
866
+ :code: typeofbill
867
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
868
+ - :name: ExplanationOfBenefit.supportingInfo:pointoforigin
869
+ :path: supportingInfo
870
+ :discriminator:
871
+ :type: patternCodeableConcept
872
+ :path: category
873
+ :code: pointoforigin
874
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
875
+ - :name: ExplanationOfBenefit.supportingInfo:admtype
876
+ :path: supportingInfo
877
+ :discriminator:
878
+ :type: patternCodeableConcept
879
+ :path: category
880
+ :code: admtype
881
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
882
+ - :name: ExplanationOfBenefit.supportingInfo:discharge-status
883
+ :path: supportingInfo
884
+ :discriminator:
885
+ :type: patternCodeableConcept
886
+ :path: category
887
+ :code: discharge-status
888
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
889
+ - :name: ExplanationOfBenefit.supportingInfo:drg
890
+ :path: supportingInfo
891
+ :discriminator:
892
+ :type: patternCodeableConcept
893
+ :path: category
894
+ :code: drg
895
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
896
+ - :name: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
897
+ :path: supportingInfo
898
+ :discriminator:
899
+ :type: patternCodeableConcept
900
+ :path: category
901
+ :code: medicalrecordnumber
902
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
903
+ - :name: ExplanationOfBenefit.supportingInfo:patientaccountnumber
904
+ :path: supportingInfo
905
+ :discriminator:
906
+ :type: patternCodeableConcept
907
+ :path: category
908
+ :code: patientaccountnumber
909
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
910
+ - :name: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
911
+ :path: item.adjudication
912
+ :discriminator:
913
+ :type: requiredBinding
914
+ :path: category
915
+ :values:
916
+ - submitted
917
+ - copay
918
+ - eligible
919
+ - deductible
920
+ - benefit
921
+ - coinsurance
922
+ - noncovered
923
+ - priorpayerpaid
924
+ - paidbypatient
925
+ - paidtopatient
926
+ - paidtoprovider
927
+ - memberliability
928
+ - discount
929
+ - drugcost
930
+ - :name: ExplanationOfBenefit.item.adjudication:denialreason
931
+ :path: item.adjudication
932
+ :discriminator:
933
+ :type: patternCodeableConcept
934
+ :path: category
935
+ :code: denialreason
936
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
937
+ - :name: ExplanationOfBenefit.item.adjudication:allowedunits
938
+ :path: item.adjudication
939
+ :discriminator:
940
+ :type: patternCodeableConcept
941
+ :path: category
942
+ :code: allowedunits
943
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
944
+ - :name: ExplanationOfBenefit.adjudication:adjudicationamounttype
945
+ :path: adjudication
946
+ :discriminator:
947
+ :type: requiredBinding
948
+ :path: category
949
+ :values:
950
+ - submitted
951
+ - copay
952
+ - eligible
953
+ - deductible
954
+ - benefit
955
+ - coinsurance
956
+ - noncovered
957
+ - priorpayerpaid
958
+ - paidbypatient
959
+ - paidtopatient
960
+ - paidtoprovider
961
+ - memberliability
962
+ - discount
963
+ - drugcost
964
+ - :name: ExplanationOfBenefit.adjudication:denialreason
965
+ :path: adjudication
966
+ :discriminator:
967
+ :type: patternCodeableConcept
968
+ :path: category
969
+ :code: denialreason
970
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
971
+ - :name: ExplanationOfBenefit.total:adjudicationamounttype
972
+ :path: total
973
+ :discriminator:
974
+ :type: requiredBinding
975
+ :path: category
976
+ :values:
977
+ - submitted
978
+ - copay
979
+ - eligible
980
+ - deductible
981
+ - benefit
982
+ - coinsurance
983
+ - noncovered
984
+ - priorpayerpaid
985
+ - paidbypatient
986
+ - paidtopatient
987
+ - paidtoprovider
988
+ - memberliability
989
+ - discount
990
+ - drugcost
991
+ - :name: ExplanationOfBenefit.total:benefitpaymentstatus
992
+ :path: total
993
+ :discriminator:
994
+ :type: requiredBinding
995
+ :path: category
996
+ :values:
997
+ - innetwork
998
+ - outofnetwork
999
+ - other
1000
+ :elements:
1001
+ - :path: meta
1002
+ - :path: meta.lastUpdated
1003
+ - :path: identifier
1004
+ - :path: identifier.type
1005
+ - :path: status
1006
+ - :path: type.coding.code
1007
+ :fixed_value: institutional
1008
+ - :path: subType.coding.code
1009
+ :fixed_value: inpatient
1010
+ - :path: use
1011
+ - :path: patient
1012
+ :types:
1013
+ - Reference
1014
+ - :path: billablePeriod
1015
+ - :path: billablePeriod.start
1016
+ - :path: billablePeriod.end
1017
+ - :path: created
1018
+ - :path: insurer
1019
+ :types:
1020
+ - Reference
1021
+ - :path: provider
1022
+ :types:
1023
+ - Reference
1024
+ - :path: related
1025
+ - :path: related.relationship
1026
+ - :path: related.reference
1027
+ - :path: payee
1028
+ - :path: payee.type
1029
+ - :path: payee.party
1030
+ :types:
1031
+ - Reference
1032
+ - :path: outcome
1033
+ - :path: careTeam
1034
+ - :path: careTeam.provider
1035
+ :types:
1036
+ - Reference
1037
+ - :path: careTeam.role
1038
+ - :path: supportingInfo
1039
+ - :path: supportingInfo.category.coding.code
1040
+ :fixed_value: billingnetworkcontractingstatus
1041
+ - :path: supportingInfo.category.coding.code
1042
+ :fixed_value: admissionperiod
1043
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1044
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1045
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1046
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1047
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1048
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1049
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1050
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1051
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1052
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1053
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1054
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1055
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1056
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1057
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1058
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1059
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1060
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1061
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1062
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1063
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1064
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1065
+ - :path: insurance
1066
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1067
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1068
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1069
+ - Reference
1070
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1071
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1072
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1073
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1074
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1075
+ - :path: item.quantity
1076
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1077
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1078
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1079
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1080
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1081
+ :fixed_value: denialreason
1082
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1083
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1084
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1085
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1086
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1087
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1088
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1089
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1090
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1091
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1092
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1093
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1094
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1095
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1096
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1097
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1098
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1099
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1100
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1101
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1102
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1103
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1104
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1105
+ - ExplanationOfBenefit.subType
1106
+ - ExplanationOfBenefit.use
1107
+ - ExplanationOfBenefit.patient
1108
+ - ExplanationOfBenefit.billablePeriod
1109
+ - ExplanationOfBenefit.created
1110
+ - ExplanationOfBenefit.insurer
1111
+ - ExplanationOfBenefit.provider
1112
+ - ExplanationOfBenefit.related.relationship
1113
+ - ExplanationOfBenefit.related.reference
1114
+ - ExplanationOfBenefit.payee.type
1115
+ - ExplanationOfBenefit.payee.party
1116
+ - ExplanationOfBenefit.outcome
1117
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1118
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1119
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1120
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1121
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1122
+ - ExplanationOfBenefit.supportingInfo.category
1123
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1124
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1125
+ - ExplanationOfBenefit.supportingInfo.value[x]
1126
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1127
+ - ExplanationOfBenefit.diagnosis.sequence
1128
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
1129
+ - ExplanationOfBenefit.diagnosis.type
1130
+ - ExplanationOfBenefit.procedure.sequence
1131
+ - ExplanationOfBenefit.procedure.type
1132
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1133
+ - ExplanationOfBenefit.insurance
1134
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1135
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1136
+ - ExplanationOfBenefit.item.sequence
1137
+ - ExplanationOfBenefit.item.revenue
1138
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1139
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1140
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1141
+ - ExplanationOfBenefit.item.adjudication.reason
1142
+ - ExplanationOfBenefit.item.adjudication.value
1143
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1144
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1145
+ - ExplanationOfBenefit.item.detail.subDetail.sequence
1146
+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
1147
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1148
+ - ExplanationOfBenefit.addItem.detail.productOrService
1149
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
1150
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1151
+ - ExplanationOfBenefit.adjudication.amount
1152
+ - ExplanationOfBenefit.adjudication.reason
1153
+ - ExplanationOfBenefit.total
1154
+ - ExplanationOfBenefit.total.category
1155
+ - ExplanationOfBenefit.total.amount
1156
+ - ExplanationOfBenefit.benefitBalance.category
1157
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1158
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1159
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1160
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1161
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1162
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1163
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1164
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1165
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1166
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1167
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1168
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1169
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1170
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1171
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1172
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1173
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1174
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1175
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1176
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1177
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1178
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1179
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1180
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1181
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1182
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1183
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1184
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1185
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1186
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1187
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1188
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1189
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1190
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1191
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1192
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1193
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1194
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1195
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1196
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1197
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1198
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1199
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1200
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1201
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1202
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1203
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1204
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1205
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1206
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1207
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1208
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1209
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1210
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1211
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1212
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1213
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1214
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1215
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1216
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1217
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1218
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1219
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1220
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1221
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1222
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1223
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1224
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1225
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1226
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1230
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1231
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1232
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1233
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1234
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1235
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1237
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1238
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1242
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1246
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1282
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1294
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1301
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1302
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1306
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1310
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1314
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1318
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1358
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1378
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1382
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1390
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1394
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1397
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1398
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1399
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1400
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1402
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1442
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+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
1502
+ :path: addItem.programCode
1503
+ - :type: CodeableConcept
1504
+ :strength: example
1505
+ :system: http://hl7.org/fhir/ValueSet/service-place
1506
+ :path: addItem.location
1507
+ - :type: CodeableConcept
1508
+ :strength: example
1509
+ :system: http://hl7.org/fhir/ValueSet/tooth
1510
+ :path: addItem.bodySite
1511
+ - :type: CodeableConcept
1512
+ :strength: example
1513
+ :system: http://hl7.org/fhir/ValueSet/surface
1514
+ :path: addItem.subSite
1515
+ - :type: CodeableConcept
1516
+ :strength: example
1517
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
1518
+ :path: addItem.detail.productOrService
1519
+ - :type: CodeableConcept
1520
+ :strength: example
1521
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
1522
+ :path: addItem.detail.modifier
1523
+ - :type: CodeableConcept
1524
+ :strength: example
1525
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
1526
+ :path: addItem.detail.subDetail.productOrService
1527
+ - :type: CodeableConcept
1528
+ :strength: example
1529
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
1530
+ :path: addItem.detail.subDetail.modifier
1531
+ - :type: CodeableConcept
1532
+ :strength: required
1533
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
1534
+ :path: adjudication.category
1535
+ - :type: CodeableConcept
1536
+ :strength: example
1537
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
1538
+ :path: adjudication.reason
1539
+ - :type: CodeableConcept
1540
+ :strength: required
1541
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
1542
+ :path: adjudication.category
1543
+ - :type: CodeableConcept
1544
+ :strength: example
1545
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
1546
+ :path: adjudication.reason
1547
+ - :type: CodeableConcept
1548
+ :strength: example
1549
+ :system: http://hl7.org/fhir/ValueSet/adjudication
1550
+ :path: adjudication.category
1551
+ - :type: CodeableConcept
1552
+ :strength: required
1553
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
1554
+ :path: adjudication.reason
1555
+ - :type: CodeableConcept
1556
+ :strength: extensible
1557
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
1558
+ :path: total.category
1559
+ - :type: CodeableConcept
1560
+ :strength: required
1561
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
1562
+ :path: total.category
1563
+ - :type: CodeableConcept
1564
+ :strength: required
1565
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
1566
+ :path: total.category
1567
+ - :type: CodeableConcept
1568
+ :strength: required
1569
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
1570
+ :path: payment.type
1571
+ - :type: CodeableConcept
1572
+ :strength: example
1573
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
1574
+ :path: payment.adjustmentReason
1575
+ - :type: CodeableConcept
1576
+ :strength: example
1577
+ :system: http://hl7.org/fhir/ValueSet/forms
1578
+ :path: formCode
1579
+ - :type: code
1580
+ :strength: required
1581
+ :system: http://hl7.org/fhir/ValueSet/note-type
1582
+ :path: processNote.type
1583
+ - :type: CodeableConcept
1584
+ :strength: preferred
1585
+ :system: http://hl7.org/fhir/ValueSet/languages
1586
+ :path: processNote.language
1587
+ - :type: CodeableConcept
1588
+ :strength: example
1589
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
1590
+ :path: benefitBalance.category
1591
+ - :type: CodeableConcept
1592
+ :strength: example
1593
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
1594
+ :path: benefitBalance.network
1595
+ - :type: CodeableConcept
1596
+ :strength: example
1597
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
1598
+ :path: benefitBalance.unit
1599
+ - :type: CodeableConcept
1600
+ :strength: example
1601
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
1602
+ :path: benefitBalance.term
1603
+ - :type: CodeableConcept
1604
+ :strength: example
1605
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
1606
+ :path: benefitBalance.financial.type
1607
+ :references:
1608
+ - :path: ExplanationOfBenefit.identifier.assigner
1609
+ :profiles:
1610
+ - http://hl7.org/fhir/StructureDefinition/Organization
1611
+ - :path: ExplanationOfBenefit.patient
1612
+ :profiles:
1613
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
1614
+ - :path: ExplanationOfBenefit.enterer
1615
+ :profiles:
1616
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
1617
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
1618
+ - :path: ExplanationOfBenefit.insurer
1619
+ :profiles:
1620
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
1621
+ - :path: ExplanationOfBenefit.provider
1622
+ :profiles:
1623
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
1624
+ - :path: ExplanationOfBenefit.related.claim
1625
+ :profiles:
1626
+ - http://hl7.org/fhir/StructureDefinition/Claim
1627
+ - :path: ExplanationOfBenefit.prescription
1628
+ :profiles:
1629
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
1630
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
1631
+ - :path: ExplanationOfBenefit.originalPrescription
1632
+ :profiles:
1633
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
1634
+ - :path: ExplanationOfBenefit.payee.party
1635
+ :profiles:
1636
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
1637
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
1638
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
1639
+ - :path: ExplanationOfBenefit.referral
1640
+ :profiles:
1641
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
1642
+ - :path: ExplanationOfBenefit.facility
1643
+ :profiles:
1644
+ - http://hl7.org/fhir/StructureDefinition/Location
1645
+ - :path: ExplanationOfBenefit.claim
1646
+ :profiles:
1647
+ - http://hl7.org/fhir/StructureDefinition/Claim
1648
+ - :path: ExplanationOfBenefit.claimResponse
1649
+ :profiles:
1650
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
1651
+ - :path: ExplanationOfBenefit.careTeam.provider
1652
+ :profiles:
1653
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
1654
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
1655
+ - :path: ExplanationOfBenefit.procedure.udi
1656
+ :profiles:
1657
+ - http://hl7.org/fhir/StructureDefinition/Device
1658
+ - :path: ExplanationOfBenefit.insurance.coverage
1659
+ :profiles:
1660
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
1661
+ - :path: ExplanationOfBenefit.item.udi
1662
+ :profiles:
1663
+ - http://hl7.org/fhir/StructureDefinition/Device
1664
+ - :path: ExplanationOfBenefit.item.encounter
1665
+ :profiles:
1666
+ - http://hl7.org/fhir/StructureDefinition/Encounter
1667
+ - :path: ExplanationOfBenefit.item.detail.udi
1668
+ :profiles:
1669
+ - http://hl7.org/fhir/StructureDefinition/Device
1670
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
1671
+ :profiles:
1672
+ - http://hl7.org/fhir/StructureDefinition/Device
1673
+ - :path: ExplanationOfBenefit.addItem.provider
1674
+ :profiles:
1675
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
1676
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
1677
+ - http://hl7.org/fhir/StructureDefinition/Organization
1678
+ :delayed_references:
1679
+ - :path: insurer
1680
+ :resources:
1681
+ - Organization
1682
+ - :path: provider
1683
+ :resources:
1684
+ - Organization
1685
+ - :path: payee.party
1686
+ :resources:
1687
+ - Organization
1688
+ - Practitioner
1689
+ - :path: careTeam.provider
1690
+ :resources:
1691
+ - Organization
1692
+ - Practitioner
1693
+ - :path: insurance.coverage
1694
+ :resources:
1695
+ - Coverage
1696
+ - :name: C4BB_ExplanationOfBenefit_Outpatient_Institutional
1697
+ :class_name: C4bbExplanationofbenefitOutpatientInstitutionalSequence
1698
+ :version: v1.1.0
1699
+ :reformatted_version: v110
1700
+ :resource: ExplanationOfBenefit
1701
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Outpatient-Institutional
1702
+ :profile_name: C4BB ExplanationOfBenefit Outpatient Institutional
1703
+ :profile_version: 1.1.0
1704
+ :title: ExplanationOfBenefit Outpatient Institutional
1705
+ :short_description: Verify support for the server capabilities required by the C4BB
1706
+ ExplanationOfBenefit Outpatient Institutional.
1707
+ :interactions:
1708
+ - :code: search-type
1709
+ :expectation: SHALL
1710
+ - :code: read
1711
+ :expectation: SHALL
1712
+ :operations: []
1713
+ :searches:
1714
+ - :names:
1715
+ - _id
1716
+ :expectation: SHALL
1717
+ - :names:
1718
+ - patient
1719
+ :expectation: SHALL
1720
+ - :names:
1721
+ - _lastUpdated
1722
+ :expectation: SHALL
1723
+ - :names:
1724
+ - type
1725
+ :expectation: SHALL
1726
+ - :names:
1727
+ - identifier
1728
+ :expectation: SHALL
1729
+ - :names:
1730
+ - service-date
1731
+ :expectation: SHALL
1732
+ :search_definitions:
1733
+ :_id:
1734
+ :paths: []
1735
+ :full_paths: []
1736
+ :values: []
1737
+ :contains_multiple: false
1738
+ :patient:
1739
+ :paths:
1740
+ - patient
1741
+ :full_paths:
1742
+ - ExplanationOfBenefit.patient
1743
+ :comparators: {}
1744
+ :values: []
1745
+ :type: Reference
1746
+ :contains_multiple: false
1747
+ :_lastUpdated:
1748
+ :paths: []
1749
+ :full_paths: []
1750
+ :values: []
1751
+ :contains_multiple: false
1752
+ :type:
1753
+ :paths:
1754
+ - type
1755
+ :full_paths:
1756
+ - ExplanationOfBenefit.type
1757
+ :comparators: {}
1758
+ :values:
1759
+ - institutional
1760
+ :type: CodeableConcept
1761
+ :contains_multiple: false
1762
+ :identifier:
1763
+ :paths:
1764
+ - identifier
1765
+ :full_paths:
1766
+ - ExplanationOfBenefit.identifier
1767
+ :comparators: {}
1768
+ :values: []
1769
+ :type: Identifier
1770
+ :contains_multiple: true
1771
+ :service-date:
1772
+ :paths:
1773
+ - 'billablePeriod '
1774
+ - " item.serviced"
1775
+ :full_paths:
1776
+ - 'ExplanationOfBenefit.billablePeriod '
1777
+ - " ExplanationOfBenefit.item.serviced"
1778
+ :comparators:
1779
+ :eq: MAY
1780
+ :ne: MAY
1781
+ :gt: MAY
1782
+ :ge: MAY
1783
+ :lt: MAY
1784
+ :le: MAY
1785
+ :sa: MAY
1786
+ :eb: MAY
1787
+ :ap: MAY
1788
+ :values: []
1789
+ :type: date
1790
+ :contains_multiple: false
1791
+ :include_params: *1
1792
+ :revincludes: *2
1793
+ :required_concepts:
1794
+ - type
1795
+ - subType
1796
+ - priority
1797
+ - related.relationship
1798
+ - payee.type
1799
+ - careTeam.role
1800
+ - careTeam.qualification
1801
+ - supportingInfo.code
1802
+ - supportingInfo.code
1803
+ - supportingInfo.code
1804
+ - supportingInfo.code
1805
+ - supportingInfo.code
1806
+ - diagnosis.diagnosisCodeableConcept
1807
+ - diagnosis.type
1808
+ - item.revenue
1809
+ - item.productOrService
1810
+ - item.modifier
1811
+ - item.adjudication.category
1812
+ - item.adjudication.category
1813
+ - item.adjudication.reason
1814
+ - adjudication.category
1815
+ - adjudication.category
1816
+ - adjudication.reason
1817
+ - total.category
1818
+ - total.category
1819
+ - payment.type
1820
+ :must_supports:
1821
+ :extensions: []
1822
+ :slices:
1823
+ - :name: ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus
1824
+ :path: supportingInfo
1825
+ :discriminator:
1826
+ :type: patternCodeableConcept
1827
+ :path: category
1828
+ :code: billingnetworkcontractingstatus
1829
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1830
+ - :name: ExplanationOfBenefit.supportingInfo:clmrecvddate
1831
+ :path: supportingInfo
1832
+ :discriminator:
1833
+ :type: patternCodeableConcept
1834
+ :path: category
1835
+ :code: clmrecvddate
1836
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1837
+ - :name: ExplanationOfBenefit.supportingInfo:typeofbill
1838
+ :path: supportingInfo
1839
+ :discriminator:
1840
+ :type: patternCodeableConcept
1841
+ :path: category
1842
+ :code: typeofbill
1843
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1844
+ - :name: ExplanationOfBenefit.supportingInfo:pointoforigin
1845
+ :path: supportingInfo
1846
+ :discriminator:
1847
+ :type: patternCodeableConcept
1848
+ :path: category
1849
+ :code: pointoforigin
1850
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1851
+ - :name: ExplanationOfBenefit.supportingInfo:admtype
1852
+ :path: supportingInfo
1853
+ :discriminator:
1854
+ :type: patternCodeableConcept
1855
+ :path: category
1856
+ :code: admtype
1857
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1858
+ - :name: ExplanationOfBenefit.supportingInfo:discharge-status
1859
+ :path: supportingInfo
1860
+ :discriminator:
1861
+ :type: patternCodeableConcept
1862
+ :path: category
1863
+ :code: discharge-status
1864
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1865
+ - :name: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
1866
+ :path: supportingInfo
1867
+ :discriminator:
1868
+ :type: patternCodeableConcept
1869
+ :path: category
1870
+ :code: medicalrecordnumber
1871
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1872
+ - :name: ExplanationOfBenefit.supportingInfo:patientaccountnumber
1873
+ :path: supportingInfo
1874
+ :discriminator:
1875
+ :type: patternCodeableConcept
1876
+ :path: category
1877
+ :code: patientaccountnumber
1878
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
1879
+ - :name: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
1880
+ :path: item.adjudication
1881
+ :discriminator:
1882
+ :type: requiredBinding
1883
+ :path: category
1884
+ :values:
1885
+ - submitted
1886
+ - copay
1887
+ - eligible
1888
+ - deductible
1889
+ - benefit
1890
+ - coinsurance
1891
+ - noncovered
1892
+ - priorpayerpaid
1893
+ - paidbypatient
1894
+ - paidtopatient
1895
+ - paidtoprovider
1896
+ - memberliability
1897
+ - discount
1898
+ - drugcost
1899
+ - :name: ExplanationOfBenefit.item.adjudication:denialreason
1900
+ :path: item.adjudication
1901
+ :discriminator:
1902
+ :type: patternCodeableConcept
1903
+ :path: category
1904
+ :code: denialreason
1905
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
1906
+ - :name: ExplanationOfBenefit.item.adjudication:allowedunits
1907
+ :path: item.adjudication
1908
+ :discriminator:
1909
+ :type: patternCodeableConcept
1910
+ :path: category
1911
+ :code: allowedunits
1912
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
1913
+ - :name: ExplanationOfBenefit.adjudication:adjudicationamounttype
1914
+ :path: adjudication
1915
+ :discriminator:
1916
+ :type: requiredBinding
1917
+ :path: category
1918
+ :values:
1919
+ - submitted
1920
+ - copay
1921
+ - eligible
1922
+ - deductible
1923
+ - benefit
1924
+ - coinsurance
1925
+ - noncovered
1926
+ - priorpayerpaid
1927
+ - paidbypatient
1928
+ - paidtopatient
1929
+ - paidtoprovider
1930
+ - memberliability
1931
+ - discount
1932
+ - drugcost
1933
+ - :name: ExplanationOfBenefit.adjudication:denialreason
1934
+ :path: adjudication
1935
+ :discriminator:
1936
+ :type: patternCodeableConcept
1937
+ :path: category
1938
+ :code: denialreason
1939
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
1940
+ - :name: ExplanationOfBenefit.total:adjudicationamounttype
1941
+ :path: total
1942
+ :discriminator:
1943
+ :type: requiredBinding
1944
+ :path: category
1945
+ :values:
1946
+ - submitted
1947
+ - copay
1948
+ - eligible
1949
+ - deductible
1950
+ - benefit
1951
+ - coinsurance
1952
+ - noncovered
1953
+ - priorpayerpaid
1954
+ - paidbypatient
1955
+ - paidtopatient
1956
+ - paidtoprovider
1957
+ - memberliability
1958
+ - discount
1959
+ - drugcost
1960
+ - :name: ExplanationOfBenefit.total:benefitpaymentstatus
1961
+ :path: total
1962
+ :discriminator:
1963
+ :type: requiredBinding
1964
+ :path: category
1965
+ :values:
1966
+ - innetwork
1967
+ - outofnetwork
1968
+ - other
1969
+ - :name: ExplanationOfBenefit.item.serviced[x]:servicedDate
1970
+ :path: item.serviced[x]
1971
+ :discriminator:
1972
+ :type: type
1973
+ :code: Date
1974
+ :elements:
1975
+ - :path: meta
1976
+ - :path: meta.lastUpdated
1977
+ - :path: identifier
1978
+ - :path: identifier.type
1979
+ - :path: status
1980
+ - :path: type.coding.code
1981
+ :fixed_value: institutional
1982
+ - :path: subType.coding.code
1983
+ :fixed_value: outpatient
1984
+ - :path: use
1985
+ - :path: patient
1986
+ :types:
1987
+ - Reference
1988
+ - :path: billablePeriod
1989
+ - :path: created
1990
+ - :path: insurer
1991
+ :types:
1992
+ - Reference
1993
+ - :path: provider
1994
+ :types:
1995
+ - Reference
1996
+ - :path: related
1997
+ - :path: related.relationship
1998
+ - :path: related.reference
1999
+ - :path: payee
2000
+ - :path: payee.type
2001
+ - :path: payee.party
2002
+ :types:
2003
+ - Reference
2004
+ - :path: outcome
2005
+ - :path: careTeam
2006
+ - :path: careTeam.provider
2007
+ :types:
2008
+ - Reference
2009
+ - :path: careTeam.role
2010
+ - :path: supportingInfo
2011
+ - :path: supportingInfo.category.coding.code
2012
+ :fixed_value: billingnetworkcontractingstatus
2013
+ - :path: supportingInfo.category.coding.code
2014
+ :fixed_value: clmrecvddate
2015
+ - :path: supportingInfo.timing[x]
2016
+ - :path: supportingInfo.category.coding.code
2017
+ :fixed_value: typeofbill
2018
+ - :path: supportingInfo.category.coding.code
2019
+ :fixed_value: pointoforigin
2020
+ - :path: supportingInfo.category.coding.code
2021
+ :fixed_value: admtype
2022
+ - :path: supportingInfo.category.coding.code
2023
+ :fixed_value: discharge-status
2024
+ - :path: supportingInfo.code
2025
+ - :path: diagnosis.diagnosis[x]
2026
+ - :path: diagnosis.type
2027
+ - :path: insurance
2028
+ - :path: insurance.focal
2029
+ - :path: insurance.coverage
2030
+ :types:
2031
+ - Reference
2032
+ - :path: item
2033
+ - :path: item.sequence
2034
+ - :path: item.revenue
2035
+ - :path: item.productOrService
2036
+ - :path: item.modifier
2037
+ - :path: item.quantity
2038
+ - :path: item.noteNumber
2039
+ - :path: item.adjudication
2040
+ - :path: item.adjudication.category
2041
+ - :path: item.adjudication.amount
2042
+ - :path: item.adjudication.category.coding.code
2043
+ :fixed_value: denialreason
2044
+ - :path: item.adjudication.reason
2045
+ - :path: item.adjudication.category.coding.code
2046
+ :fixed_value: allowedunits
2047
+ - :path: item.adjudication.value
2048
+ - :path: adjudication
2049
+ - :path: adjudication.category
2050
+ - :path: adjudication.amount
2051
+ - :path: adjudication.reason
2052
+ - :path: total
2053
+ - :path: total.category
2054
+ - :path: total.amount
2055
+ - :path: payment
2056
+ - :path: payment.type
2057
+ - :path: payment.date
2058
+ - :path: processNote
2059
+ - :path: processNote.text
2060
+ :mandatory_elements:
2061
+ - ExplanationOfBenefit.meta
2062
+ - ExplanationOfBenefit.meta.lastUpdated
2063
+ - ExplanationOfBenefit.meta.profile
2064
+ - ExplanationOfBenefit.identifier
2065
+ - ExplanationOfBenefit.identifier.type
2066
+ - ExplanationOfBenefit.status
2067
+ - ExplanationOfBenefit.type
2068
+ - ExplanationOfBenefit.subType
2069
+ - ExplanationOfBenefit.use
2070
+ - ExplanationOfBenefit.patient
2071
+ - ExplanationOfBenefit.created
2072
+ - ExplanationOfBenefit.insurer
2073
+ - ExplanationOfBenefit.provider
2074
+ - ExplanationOfBenefit.related.relationship
2075
+ - ExplanationOfBenefit.related.reference
2076
+ - ExplanationOfBenefit.payee.type
2077
+ - ExplanationOfBenefit.payee.party
2078
+ - ExplanationOfBenefit.outcome
2079
+ - ExplanationOfBenefit.careTeam.sequence
2080
+ - ExplanationOfBenefit.careTeam.provider
2081
+ - ExplanationOfBenefit.careTeam.role
2082
+ - ExplanationOfBenefit.supportingInfo.sequence
2083
+ - ExplanationOfBenefit.supportingInfo.category
2084
+ - ExplanationOfBenefit.supportingInfo.code
2085
+ - ExplanationOfBenefit.supportingInfo.timing[x]
2086
+ - ExplanationOfBenefit.supportingInfo.value[x]
2087
+ - ExplanationOfBenefit.diagnosis
2088
+ - ExplanationOfBenefit.diagnosis.sequence
2089
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
2090
+ - ExplanationOfBenefit.diagnosis.type
2091
+ - ExplanationOfBenefit.procedure.sequence
2092
+ - ExplanationOfBenefit.procedure.procedure[x]
2093
+ - ExplanationOfBenefit.insurance
2094
+ - ExplanationOfBenefit.insurance.focal
2095
+ - ExplanationOfBenefit.insurance.coverage
2096
+ - ExplanationOfBenefit.item.sequence
2097
+ - ExplanationOfBenefit.item.productOrService
2098
+ - ExplanationOfBenefit.item.adjudication.category
2099
+ - ExplanationOfBenefit.item.adjudication.amount
2100
+ - ExplanationOfBenefit.item.adjudication.reason
2101
+ - ExplanationOfBenefit.item.adjudication.value
2102
+ - ExplanationOfBenefit.item.detail.sequence
2103
+ - ExplanationOfBenefit.item.detail.productOrService
2104
+ - ExplanationOfBenefit.item.detail.subDetail.sequence
2105
+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
2106
+ - ExplanationOfBenefit.addItem.productOrService
2107
+ - ExplanationOfBenefit.addItem.detail.productOrService
2108
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
2109
+ - ExplanationOfBenefit.adjudication.category
2110
+ - ExplanationOfBenefit.adjudication.amount
2111
+ - ExplanationOfBenefit.adjudication.reason
2112
+ - ExplanationOfBenefit.total
2113
+ - ExplanationOfBenefit.total.category
2114
+ - ExplanationOfBenefit.total.amount
2115
+ - ExplanationOfBenefit.benefitBalance.category
2116
+ - ExplanationOfBenefit.benefitBalance.financial.type
2117
+ :bindings:
2118
+ - :type: Coding
2119
+ :strength: extensible
2120
+ :system: http://hl7.org/fhir/ValueSet/security-labels
2121
+ :path: meta.security
2122
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2123
+ :strength: example
2124
+ :system: http://hl7.org/fhir/ValueSet/common-tags
2125
+ :path: meta.tag
2126
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2127
+ :strength: preferred
2128
+ :system: http://hl7.org/fhir/ValueSet/languages
2129
+ :path: language
2130
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2131
+ :strength: required
2132
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
2133
+ :path: identifier.use
2134
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2135
+ :strength: extensible
2136
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType
2137
+ :path: identifier.type
2138
+ - :type: code
2139
+ :strength: required
2140
+ :system: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
2141
+ :path: status
2142
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2143
+ :strength: required
2144
+ :system: http://hl7.org/fhir/ValueSet/claim-type
2145
+ :path: type
2146
+ - :type: CodeableConcept
2147
+ :strength: required
2148
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBInstitutionalClaimSubType
2149
+ :path: subType
2150
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2151
+ :strength: required
2152
+ :system: http://hl7.org/fhir/ValueSet/claim-use
2153
+ :path: use
2154
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2155
+ :strength: required
2156
+ :system: http://hl7.org/fhir/ValueSet/process-priority
2157
+ :path: priority
2158
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2159
+ :strength: example
2160
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
2161
+ :path: fundsReserveRequested
2162
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2163
+ :strength: example
2164
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
2165
+ :path: fundsReserve
2166
+ - :type: CodeableConcept
2167
+ :strength: required
2168
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
2169
+ :path: related.relationship
2170
+ - :type: CodeableConcept
2171
+ :strength: required
2172
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
2173
+ :path: payee.type
2174
+ - :type: code
2175
+ :strength: required
2176
+ :system: http://hl7.org/fhir/ValueSet/remittance-outcome
2177
+ :path: outcome
2178
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2179
+ :strength: required
2180
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInstitutionalCareTeamRole
2181
+ :path: careTeam.role
2182
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2183
+ :strength: required
2184
+ :system: http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty
2185
+ :path: careTeam.qualification
2186
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2187
+ :strength: extensible
2188
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
2189
+ :path: supportingInfo.category
2190
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2191
+ :strength: example
2192
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
2193
+ :path: supportingInfo.code
2194
+ - :type: Coding
2195
+ :strength: example
2196
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
2197
+ :path: supportingInfo.reason
2198
+ - :type: CodeableConcept
2199
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2200
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
2201
+ :path: supportingInfo.category
2202
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2203
+ :strength: required
2204
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
2205
+ :path: supportingInfo.code
2206
+ - :type: Coding
2207
+ :strength: example
2208
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
2209
+ :path: supportingInfo.reason
2210
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2211
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2212
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
2213
+ :path: supportingInfo.category
2214
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2215
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2216
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
2217
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2218
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2219
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2220
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
2221
+ :path: supportingInfo.reason
2222
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2223
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2224
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2225
+ :path: supportingInfo.category
2226
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2227
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2228
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCTypeOfBill
2229
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2230
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2231
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2232
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
2233
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2234
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2235
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2236
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2237
+ :path: supportingInfo.category
2238
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2239
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2240
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2241
+ :path: supportingInfo.code
2242
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2243
+ :strength: example
2244
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2245
+ :path: supportingInfo.reason
2246
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2248
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2249
+ :path: supportingInfo.category
2250
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2251
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2252
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisit
2253
+ :path: supportingInfo.code
2254
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2255
+ :strength: example
2256
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2257
+ :path: supportingInfo.reason
2258
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2259
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2260
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2261
+ :path: supportingInfo.category
2262
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2263
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2264
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPatientDischargeStatus
2265
+ :path: supportingInfo.code
2266
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2267
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2268
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
2269
+ :path: supportingInfo.reason
2270
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2271
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2272
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2273
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2274
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2275
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2276
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2277
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2278
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2279
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2280
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2281
+ :path: supportingInfo.reason
2282
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2283
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2284
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2285
+ :path: supportingInfo.category
2286
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2287
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2288
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2289
+ :path: supportingInfo.code
2290
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2291
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2292
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
2293
+ :path: supportingInfo.reason
2294
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2295
+ :strength: required
2296
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes
2297
+ :path: diagnosis.diagnosis
2298
+ - :type: CodeableConcept
2299
+ :strength: required
2300
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimOutpatientInstitutionalDiagnosisType
2301
+ :path: diagnosis.type
2302
+ - :type: CodeableConcept
2303
+ :strength: example
2304
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
2305
+ :path: diagnosis.onAdmission
2306
+ - :type: CodeableConcept
2307
+ :strength: example
2308
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
2309
+ :path: diagnosis.packageCode
2310
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2311
+ :strength: example
2312
+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
2313
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2314
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2315
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2316
+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
2317
+ :path: procedure.procedure
2318
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2319
+ :strength: extensible
2320
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
2321
+ :path: accident.type
2322
+ - :type: CodeableConcept
2323
+ :strength: required
2324
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCRevenueCodes
2325
+ :path: item.revenue
2326
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2327
+ :strength: example
2328
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
2329
+ :path: item.category
2330
+ - :type: CodeableConcept
2331
+ :strength: required
2332
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBEOBInstitutionalProcedureCodes
2333
+ :path: item.productOrService
2334
+ - :type: CodeableConcept
2335
+ :strength: required
2336
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers
2337
+ :path: item.modifier
2338
+ - :type: CodeableConcept
2339
+ :strength: example
2340
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
2341
+ :path: item.programCode
2342
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2343
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2344
+ :system: http://hl7.org/fhir/ValueSet/service-place
2345
+ :path: item.location
2346
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2347
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2348
+ :system: http://hl7.org/fhir/ValueSet/tooth
2349
+ :path: item.bodySite
2350
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2351
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2352
+ :system: http://hl7.org/fhir/ValueSet/surface
2353
+ :path: item.subSite
2354
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2355
+ :strength: required
2356
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
2357
+ :path: item.adjudication.category
2358
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2359
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2360
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
2361
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2362
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2363
+ :strength: required
2364
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
2365
+ :path: item.adjudication.category
2366
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2367
+ :strength: example
2368
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
2369
+ :path: item.adjudication.reason
2370
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2371
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2372
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2373
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2374
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2375
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2376
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
2377
+ :path: item.adjudication.reason
2378
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2379
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2380
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2381
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2382
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2383
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2384
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2385
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2386
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2387
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2388
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
2389
+ :path: item.detail.revenue
2390
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2391
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2392
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2393
+ :path: item.detail.category
2394
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2395
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2396
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2397
+ :path: item.detail.productOrService
2398
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2399
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2400
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2401
+ :path: item.detail.modifier
2402
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2403
+ :strength: example
2404
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2405
+ :path: item.detail.programCode
2406
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2407
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2408
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2409
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2410
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2411
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2412
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2413
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2414
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2415
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2416
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2417
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2418
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2419
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2420
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2421
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2422
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2423
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2424
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2425
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2426
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2427
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2428
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2429
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2431
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2432
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2433
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2435
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2437
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2439
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2440
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2441
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2442
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2443
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2445
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2447
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2448
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2449
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2453
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2454
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2455
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2456
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2457
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2465
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2467
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2469
+ :path: adjudication.category
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2489
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+ :strength: extensible
2492
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
2493
+ :path: total.category
2494
+ - :type: CodeableConcept
2495
+ :strength: required
2496
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
2497
+ :path: total.category
2498
+ - :type: CodeableConcept
2499
+ :strength: required
2500
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
2501
+ :path: total.category
2502
+ - :type: CodeableConcept
2503
+ :strength: required
2504
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
2505
+ :path: payment.type
2506
+ - :type: CodeableConcept
2507
+ :strength: example
2508
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
2509
+ :path: payment.adjustmentReason
2510
+ - :type: CodeableConcept
2511
+ :strength: example
2512
+ :system: http://hl7.org/fhir/ValueSet/forms
2513
+ :path: formCode
2514
+ - :type: code
2515
+ :strength: required
2516
+ :system: http://hl7.org/fhir/ValueSet/note-type
2517
+ :path: processNote.type
2518
+ - :type: CodeableConcept
2519
+ :strength: preferred
2520
+ :system: http://hl7.org/fhir/ValueSet/languages
2521
+ :path: processNote.language
2522
+ - :type: CodeableConcept
2523
+ :strength: example
2524
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
2525
+ :path: benefitBalance.category
2526
+ - :type: CodeableConcept
2527
+ :strength: example
2528
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
2529
+ :path: benefitBalance.network
2530
+ - :type: CodeableConcept
2531
+ :strength: example
2532
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
2533
+ :path: benefitBalance.unit
2534
+ - :type: CodeableConcept
2535
+ :strength: example
2536
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
2537
+ :path: benefitBalance.term
2538
+ - :type: CodeableConcept
2539
+ :strength: example
2540
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
2541
+ :path: benefitBalance.financial.type
2542
+ :references:
2543
+ - :path: ExplanationOfBenefit.identifier.assigner
2544
+ :profiles:
2545
+ - http://hl7.org/fhir/StructureDefinition/Organization
2546
+ - :path: ExplanationOfBenefit.patient
2547
+ :profiles:
2548
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
2549
+ - :path: ExplanationOfBenefit.enterer
2550
+ :profiles:
2551
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
2552
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
2553
+ - :path: ExplanationOfBenefit.insurer
2554
+ :profiles:
2555
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
2556
+ - :path: ExplanationOfBenefit.provider
2557
+ :profiles:
2558
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
2559
+ - :path: ExplanationOfBenefit.related.claim
2560
+ :profiles:
2561
+ - http://hl7.org/fhir/StructureDefinition/Claim
2562
+ - :path: ExplanationOfBenefit.prescription
2563
+ :profiles:
2564
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
2565
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
2566
+ - :path: ExplanationOfBenefit.originalPrescription
2567
+ :profiles:
2568
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
2569
+ - :path: ExplanationOfBenefit.payee.party
2570
+ :profiles:
2571
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
2572
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
2573
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
2574
+ - :path: ExplanationOfBenefit.referral
2575
+ :profiles:
2576
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
2577
+ - :path: ExplanationOfBenefit.facility
2578
+ :profiles:
2579
+ - http://hl7.org/fhir/StructureDefinition/Location
2580
+ - :path: ExplanationOfBenefit.claim
2581
+ :profiles:
2582
+ - http://hl7.org/fhir/StructureDefinition/Claim
2583
+ - :path: ExplanationOfBenefit.claimResponse
2584
+ :profiles:
2585
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
2586
+ - :path: ExplanationOfBenefit.careTeam.provider
2587
+ :profiles:
2588
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
2589
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
2590
+ - :path: ExplanationOfBenefit.procedure.udi
2591
+ :profiles:
2592
+ - http://hl7.org/fhir/StructureDefinition/Device
2593
+ - :path: ExplanationOfBenefit.insurance.coverage
2594
+ :profiles:
2595
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
2596
+ - :path: ExplanationOfBenefit.item.udi
2597
+ :profiles:
2598
+ - http://hl7.org/fhir/StructureDefinition/Device
2599
+ - :path: ExplanationOfBenefit.item.encounter
2600
+ :profiles:
2601
+ - http://hl7.org/fhir/StructureDefinition/Encounter
2602
+ - :path: ExplanationOfBenefit.item.detail.udi
2603
+ :profiles:
2604
+ - http://hl7.org/fhir/StructureDefinition/Device
2605
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
2606
+ :profiles:
2607
+ - http://hl7.org/fhir/StructureDefinition/Device
2608
+ - :path: ExplanationOfBenefit.addItem.provider
2609
+ :profiles:
2610
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
2611
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
2612
+ - http://hl7.org/fhir/StructureDefinition/Organization
2613
+ :delayed_references:
2614
+ - :path: insurer
2615
+ :resources:
2616
+ - Organization
2617
+ - :path: provider
2618
+ :resources:
2619
+ - Organization
2620
+ - :path: payee.party
2621
+ :resources:
2622
+ - Organization
2623
+ - Practitioner
2624
+ - :path: careTeam.provider
2625
+ :resources:
2626
+ - Organization
2627
+ - Practitioner
2628
+ - :path: insurance.coverage
2629
+ :resources:
2630
+ - Coverage
2631
+ - :name: C4BB_ExplanationOfBenefit_Pharmacy
2632
+ :class_name: C4bbExplanationofbenefitPharmacySequence
2633
+ :version: v1.1.0
2634
+ :reformatted_version: v110
2635
+ :resource: ExplanationOfBenefit
2636
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Pharmacy
2637
+ :profile_name: C4BB ExplanationOfBenefit Pharmacy
2638
+ :profile_version: 1.1.0
2639
+ :title: ExplanationOfBenefit Pharmacy
2640
+ :short_description: Verify support for the server capabilities required by the C4BB
2641
+ ExplanationOfBenefit Pharmacy.
2642
+ :interactions:
2643
+ - :code: search-type
2644
+ :expectation: SHALL
2645
+ - :code: read
2646
+ :expectation: SHALL
2647
+ :operations: []
2648
+ :searches:
2649
+ - :names:
2650
+ - _id
2651
+ :expectation: SHALL
2652
+ - :names:
2653
+ - patient
2654
+ :expectation: SHALL
2655
+ - :names:
2656
+ - _lastUpdated
2657
+ :expectation: SHALL
2658
+ - :names:
2659
+ - type
2660
+ :expectation: SHALL
2661
+ - :names:
2662
+ - identifier
2663
+ :expectation: SHALL
2664
+ - :names:
2665
+ - service-date
2666
+ :expectation: SHALL
2667
+ :search_definitions:
2668
+ :_id:
2669
+ :paths: []
2670
+ :full_paths: []
2671
+ :values: []
2672
+ :contains_multiple: false
2673
+ :patient:
2674
+ :paths:
2675
+ - patient
2676
+ :full_paths:
2677
+ - ExplanationOfBenefit.patient
2678
+ :comparators: {}
2679
+ :values: []
2680
+ :type: Reference
2681
+ :contains_multiple: false
2682
+ :_lastUpdated:
2683
+ :paths: []
2684
+ :full_paths: []
2685
+ :values: []
2686
+ :contains_multiple: false
2687
+ :type:
2688
+ :paths:
2689
+ - type
2690
+ :full_paths:
2691
+ - ExplanationOfBenefit.type
2692
+ :comparators: {}
2693
+ :values:
2694
+ - pharmacy
2695
+ :type: CodeableConcept
2696
+ :contains_multiple: false
2697
+ :identifier:
2698
+ :paths:
2699
+ - identifier
2700
+ :full_paths:
2701
+ - ExplanationOfBenefit.identifier
2702
+ :comparators: {}
2703
+ :values: []
2704
+ :type: Identifier
2705
+ :contains_multiple: true
2706
+ :service-date:
2707
+ :paths:
2708
+ - 'billablePeriod '
2709
+ - " item.serviced"
2710
+ :full_paths:
2711
+ - 'ExplanationOfBenefit.billablePeriod '
2712
+ - " ExplanationOfBenefit.item.serviced"
2713
+ :comparators:
2714
+ :eq: MAY
2715
+ :ne: MAY
2716
+ :gt: MAY
2717
+ :ge: MAY
2718
+ :lt: MAY
2719
+ :le: MAY
2720
+ :sa: MAY
2721
+ :eb: MAY
2722
+ :ap: MAY
2723
+ :values: []
2724
+ :type: date
2725
+ :contains_multiple: false
2726
+ :include_params: *1
2727
+ :revincludes: *2
2728
+ :required_concepts:
2729
+ - type
2730
+ - priority
2731
+ - related.relationship
2732
+ - payee.type
2733
+ - careTeam.role
2734
+ - supportingInfo.code
2735
+ - supportingInfo.code
2736
+ - supportingInfo.code
2737
+ - supportingInfo.code
2738
+ - supportingInfo.code
2739
+ - item.productOrService
2740
+ - item.adjudication.category
2741
+ - item.adjudication.category
2742
+ - item.adjudication.reason
2743
+ - item.detail.productOrService
2744
+ - total.category
2745
+ - total.category
2746
+ - payment.type
2747
+ :must_supports:
2748
+ :extensions: []
2749
+ :slices:
2750
+ - :name: ExplanationOfBenefit.supportingInfo:dayssupply
2751
+ :path: supportingInfo
2752
+ :discriminator:
2753
+ :type: patternCodeableConcept
2754
+ :path: category
2755
+ :code: dayssupply
2756
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2757
+ - :name: ExplanationOfBenefit.supportingInfo:dawcode
2758
+ :path: supportingInfo
2759
+ :discriminator:
2760
+ :type: patternCodeableConcept
2761
+ :path: category
2762
+ :code: dawcode
2763
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2764
+ - :name: ExplanationOfBenefit.supportingInfo:refillNum
2765
+ :path: supportingInfo
2766
+ :discriminator:
2767
+ :type: patternCodeableConcept
2768
+ :path: category
2769
+ :code: refillnum
2770
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2771
+ - :name: ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus
2772
+ :path: supportingInfo
2773
+ :discriminator:
2774
+ :type: patternCodeableConcept
2775
+ :path: category
2776
+ :code: billingnetworkcontractingstatus
2777
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2778
+ - :name: ExplanationOfBenefit.supportingInfo:brandgenericindicator
2779
+ :path: supportingInfo
2780
+ :discriminator:
2781
+ :type: patternCodeableConcept
2782
+ :path: category
2783
+ :code: brandgenericindicator
2784
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2785
+ - :name: ExplanationOfBenefit.supportingInfo:rxoriginCode
2786
+ :path: supportingInfo
2787
+ :discriminator:
2788
+ :type: patternCodeableConcept
2789
+ :path: category
2790
+ :code: rxorigincode
2791
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2792
+ - :name: ExplanationOfBenefit.supportingInfo:clmrecvddate
2793
+ :path: supportingInfo
2794
+ :discriminator:
2795
+ :type: patternCodeableConcept
2796
+ :path: category
2797
+ :code: clmrecvddate
2798
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2799
+ - :name: ExplanationOfBenefit.supportingInfo:compoundcode
2800
+ :path: supportingInfo
2801
+ :discriminator:
2802
+ :type: patternCodeableConcept
2803
+ :path: category
2804
+ :code: compoundcode
2805
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
2806
+ - :name: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
2807
+ :path: item.adjudication
2808
+ :discriminator:
2809
+ :type: requiredBinding
2810
+ :path: category
2811
+ :values:
2812
+ - submitted
2813
+ - copay
2814
+ - eligible
2815
+ - deductible
2816
+ - benefit
2817
+ - coinsurance
2818
+ - noncovered
2819
+ - priorpayerpaid
2820
+ - paidbypatient
2821
+ - paidtopatient
2822
+ - paidtoprovider
2823
+ - memberliability
2824
+ - discount
2825
+ - drugcost
2826
+ - :name: ExplanationOfBenefit.item.adjudication:denialreason
2827
+ :path: item.adjudication
2828
+ :discriminator:
2829
+ :type: patternCodeableConcept
2830
+ :path: category
2831
+ :code: denialreason
2832
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
2833
+ - :name: ExplanationOfBenefit.total:adjudicationamounttype
2834
+ :path: total
2835
+ :discriminator:
2836
+ :type: requiredBinding
2837
+ :path: category
2838
+ :values:
2839
+ - submitted
2840
+ - copay
2841
+ - eligible
2842
+ - deductible
2843
+ - benefit
2844
+ - coinsurance
2845
+ - noncovered
2846
+ - priorpayerpaid
2847
+ - paidbypatient
2848
+ - paidtopatient
2849
+ - paidtoprovider
2850
+ - memberliability
2851
+ - discount
2852
+ - drugcost
2853
+ - :name: ExplanationOfBenefit.total:benefitpaymentstatus
2854
+ :path: total
2855
+ :discriminator:
2856
+ :type: requiredBinding
2857
+ :path: category
2858
+ :values:
2859
+ - innetwork
2860
+ - outofnetwork
2861
+ - other
2862
+ :elements:
2863
+ - :path: meta
2864
+ - :path: meta.lastUpdated
2865
+ - :path: identifier
2866
+ - :path: identifier.type
2867
+ - :path: status
2868
+ - :path: type.coding.code
2869
+ :fixed_value: pharmacy
2870
+ - :path: use
2871
+ - :path: patient
2872
+ :types:
2873
+ - Reference
2874
+ - :path: billablePeriod
2875
+ - :path: created
2876
+ - :path: insurer
2877
+ :types:
2878
+ - Reference
2879
+ - :path: provider
2880
+ :types:
2881
+ - Reference
2882
+ - :path: related
2883
+ - :path: related.relationship
2884
+ - :path: related.reference
2885
+ - :path: payee
2886
+ - :path: payee.type
2887
+ - :path: payee.party
2888
+ :types:
2889
+ - Reference
2890
+ - :path: outcome
2891
+ - :path: careTeam
2892
+ - :path: careTeam.provider
2893
+ :types:
2894
+ - Reference
2895
+ - :path: careTeam.role
2896
+ - :path: supportingInfo
2897
+ - :path: supportingInfo.category.coding.code
2898
+ :fixed_value: dayssupply
2899
+ - :path: supportingInfo.category.coding.code
2900
+ :fixed_value: dawcode
2901
+ - :path: supportingInfo.category.coding.code
2902
+ :fixed_value: refillnum
2903
+ - :path: supportingInfo.value[x]
2904
+ - :path: supportingInfo.category.coding.code
2905
+ :fixed_value: billingnetworkcontractingstatus
2906
+ - :path: supportingInfo.category.coding.code
2907
+ :fixed_value: brandgenericindicator
2908
+ - :path: supportingInfo.category.coding.code
2909
+ :fixed_value: rxorigincode
2910
+ - :path: supportingInfo.category.coding.code
2911
+ :fixed_value: clmrecvddate
2912
+ - :path: supportingInfo.timing[x]
2913
+ - :path: supportingInfo.category.coding.code
2914
+ :fixed_value: compoundcode
2915
+ - :path: supportingInfo.code
2916
+ - :path: insurance
2917
+ - :path: insurance.focal
2918
+ - :path: insurance.coverage
2919
+ :types:
2920
+ - Reference
2921
+ - :path: item
2922
+ - :path: item.sequence
2923
+ - :path: item.productOrService
2924
+ - :path: item.serviced[x]
2925
+ - :path: item.quantity
2926
+ - :path: item.noteNumber
2927
+ - :path: item.adjudication
2928
+ - :path: item.adjudication.category
2929
+ - :path: item.adjudication.amount
2930
+ - :path: item.adjudication.category.coding.code
2931
+ :fixed_value: denialreason
2932
+ - :path: item.adjudication.reason
2933
+ - :path: item.detail
2934
+ - :path: item.detail.productOrService
2935
+ - :path: item.detail.quantity
2936
+ - :path: total
2937
+ - :path: total.category
2938
+ - :path: total.amount
2939
+ - :path: payment
2940
+ - :path: payment.type
2941
+ - :path: payment.date
2942
+ - :path: processNote
2943
+ - :path: processNote.text
2944
+ :mandatory_elements:
2945
+ - ExplanationOfBenefit.meta
2946
+ - ExplanationOfBenefit.meta.lastUpdated
2947
+ - ExplanationOfBenefit.meta.profile
2948
+ - ExplanationOfBenefit.identifier
2949
+ - ExplanationOfBenefit.identifier.type
2950
+ - ExplanationOfBenefit.status
2951
+ - ExplanationOfBenefit.type
2952
+ - ExplanationOfBenefit.use
2953
+ - ExplanationOfBenefit.patient
2954
+ - ExplanationOfBenefit.created
2955
+ - ExplanationOfBenefit.insurer
2956
+ - ExplanationOfBenefit.provider
2957
+ - ExplanationOfBenefit.related.relationship
2958
+ - ExplanationOfBenefit.related.reference
2959
+ - ExplanationOfBenefit.payee.type
2960
+ - ExplanationOfBenefit.payee.party
2961
+ - ExplanationOfBenefit.outcome
2962
+ - ExplanationOfBenefit.careTeam.sequence
2963
+ - ExplanationOfBenefit.careTeam.provider
2964
+ - ExplanationOfBenefit.careTeam.role
2965
+ - ExplanationOfBenefit.supportingInfo
2966
+ - ExplanationOfBenefit.supportingInfo.sequence
2967
+ - ExplanationOfBenefit.supportingInfo.category
2968
+ - ExplanationOfBenefit.supportingInfo.value[x]
2969
+ - ExplanationOfBenefit.supportingInfo.code
2970
+ - ExplanationOfBenefit.supportingInfo.timing[x]
2971
+ - ExplanationOfBenefit.diagnosis.sequence
2972
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
2973
+ - ExplanationOfBenefit.procedure.sequence
2974
+ - ExplanationOfBenefit.procedure.procedure[x]
2975
+ - ExplanationOfBenefit.insurance
2976
+ - ExplanationOfBenefit.insurance.focal
2977
+ - ExplanationOfBenefit.insurance.coverage
2978
+ - ExplanationOfBenefit.item.sequence
2979
+ - ExplanationOfBenefit.item.productOrService
2980
+ - ExplanationOfBenefit.item.adjudication
2981
+ - ExplanationOfBenefit.item.adjudication.category
2982
+ - ExplanationOfBenefit.item.adjudication.amount
2983
+ - ExplanationOfBenefit.item.adjudication.reason
2984
+ - ExplanationOfBenefit.item.detail.sequence
2985
+ - ExplanationOfBenefit.item.detail.productOrService
2986
+ - ExplanationOfBenefit.item.detail.subDetail.sequence
2987
+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
2988
+ - ExplanationOfBenefit.addItem.productOrService
2989
+ - ExplanationOfBenefit.addItem.detail.productOrService
2990
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
2991
+ - ExplanationOfBenefit.total
2992
+ - ExplanationOfBenefit.total.category
2993
+ - ExplanationOfBenefit.total.amount
2994
+ - ExplanationOfBenefit.benefitBalance.category
2995
+ - ExplanationOfBenefit.benefitBalance.financial.type
2996
+ :bindings:
2997
+ - :type: Coding
2998
+ :strength: extensible
2999
+ :system: http://hl7.org/fhir/ValueSet/security-labels
3000
+ :path: meta.security
3001
+ - :type: Coding
3002
+ :strength: example
3003
+ :system: http://hl7.org/fhir/ValueSet/common-tags
3004
+ :path: meta.tag
3005
+ - :type: code
3006
+ :strength: preferred
3007
+ :system: http://hl7.org/fhir/ValueSet/languages
3008
+ :path: language
3009
+ - :type: code
3010
+ :strength: required
3011
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
3012
+ :path: identifier.use
3013
+ - :type: CodeableConcept
3014
+ :strength: extensible
3015
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType
3016
+ :path: identifier.type
3017
+ - :type: code
3018
+ :strength: required
3019
+ :system: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
3020
+ :path: status
3021
+ - :type: CodeableConcept
3022
+ :strength: required
3023
+ :system: http://hl7.org/fhir/ValueSet/claim-type
3024
+ :path: type
3025
+ - :type: CodeableConcept
3026
+ :strength: example
3027
+ :system: http://hl7.org/fhir/ValueSet/claim-subtype
3028
+ :path: subType
3029
+ - :type: code
3030
+ :strength: required
3031
+ :system: http://hl7.org/fhir/ValueSet/claim-use
3032
+ :path: use
3033
+ - :type: CodeableConcept
3034
+ :strength: required
3035
+ :system: http://hl7.org/fhir/ValueSet/process-priority
3036
+ :path: priority
3037
+ - :type: CodeableConcept
3038
+ :strength: example
3039
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
3040
+ :path: fundsReserveRequested
3041
+ - :type: CodeableConcept
3042
+ :strength: example
3043
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
3044
+ :path: fundsReserve
3045
+ - :type: CodeableConcept
3046
+ :strength: required
3047
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
3048
+ :path: related.relationship
3049
+ - :type: CodeableConcept
3050
+ :strength: required
3051
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
3052
+ :path: payee.type
3053
+ - :type: code
3054
+ :strength: required
3055
+ :system: http://hl7.org/fhir/ValueSet/remittance-outcome
3056
+ :path: outcome
3057
+ - :type: CodeableConcept
3058
+ :strength: required
3059
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimPharmacyTeamRole
3060
+ :path: careTeam.role
3061
+ - :type: CodeableConcept
3062
+ :strength: example
3063
+ :system: http://hl7.org/fhir/ValueSet/provider-qualification
3064
+ :path: careTeam.qualification
3065
+ - :type: CodeableConcept
3066
+ :strength: extensible
3067
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3068
+ :path: supportingInfo.category
3069
+ - :type: CodeableConcept
3070
+ :strength: example
3071
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3072
+ :path: supportingInfo.code
3073
+ - :type: Coding
3074
+ :strength: example
3075
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3076
+ :path: supportingInfo.reason
3077
+ - :type: CodeableConcept
3078
+ :strength: extensible
3079
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3080
+ :path: supportingInfo.category
3081
+ - :type: CodeableConcept
3082
+ :strength: example
3083
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3084
+ :path: supportingInfo.code
3085
+ - :type: Coding
3086
+ :strength: example
3087
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3088
+ :path: supportingInfo.reason
3089
+ - :type: CodeableConcept
3090
+ :strength: extensible
3091
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3092
+ :path: supportingInfo.category
3093
+ - :type: CodeableConcept
3094
+ :strength: required
3095
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPDispensedAsWrittenOrProductSelectionCode
3096
+ :path: supportingInfo.code
3097
+ - :type: Coding
3098
+ :strength: example
3099
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3100
+ :path: supportingInfo.reason
3101
+ - :type: CodeableConcept
3102
+ :strength: extensible
3103
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3104
+ :path: supportingInfo.category
3105
+ - :type: CodeableConcept
3106
+ :strength: example
3107
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3108
+ :path: supportingInfo.code
3109
+ - :type: Coding
3110
+ :strength: example
3111
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3112
+ :path: supportingInfo.reason
3113
+ - :type: CodeableConcept
3114
+ :strength: extensible
3115
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3116
+ :path: supportingInfo.category
3117
+ - :type: CodeableConcept
3118
+ :strength: required
3119
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
3120
+ :path: supportingInfo.code
3121
+ - :type: Coding
3122
+ :strength: example
3123
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3124
+ :path: supportingInfo.reason
3125
+ - :type: CodeableConcept
3126
+ :strength: extensible
3127
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3128
+ :path: supportingInfo.category
3129
+ - :type: CodeableConcept
3130
+ :strength: required
3131
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPBrandGenericIndicator
3132
+ :path: supportingInfo.code
3133
+ - :type: Coding
3134
+ :strength: example
3135
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3136
+ :path: supportingInfo.reason
3137
+ - :type: CodeableConcept
3138
+ :strength: extensible
3139
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3140
+ :path: supportingInfo.category
3141
+ - :type: CodeableConcept
3142
+ :strength: required
3143
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPPrescriptionOriginCode
3144
+ :path: supportingInfo.code
3145
+ - :type: Coding
3146
+ :strength: example
3147
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3148
+ :path: supportingInfo.reason
3149
+ - :type: CodeableConcept
3150
+ :strength: extensible
3151
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3152
+ :path: supportingInfo.category
3153
+ - :type: CodeableConcept
3154
+ :strength: example
3155
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3156
+ :path: supportingInfo.code
3157
+ - :type: Coding
3158
+ :strength: example
3159
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3160
+ :path: supportingInfo.reason
3161
+ - :type: CodeableConcept
3162
+ :strength: extensible
3163
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3164
+ :path: supportingInfo.category
3165
+ - :type: CodeableConcept
3166
+ :strength: required
3167
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPCompoundCode
3168
+ :path: supportingInfo.code
3169
+ - :type: Coding
3170
+ :strength: example
3171
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3172
+ :path: supportingInfo.reason
3173
+ - :type: CodeableConcept
3174
+ :strength: example
3175
+ :system: http://hl7.org/fhir/ValueSet/icd-10
3176
+ :path: diagnosis.diagnosis
3177
+ - :type: CodeableConcept
3178
+ :strength: example
3179
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosistype
3180
+ :path: diagnosis.type
3181
+ - :type: CodeableConcept
3182
+ :strength: example
3183
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
3184
+ :path: diagnosis.onAdmission
3185
+ - :type: CodeableConcept
3186
+ :strength: example
3187
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
3188
+ :path: diagnosis.packageCode
3189
+ - :type: CodeableConcept
3190
+ :strength: example
3191
+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
3192
+ :path: procedure.type
3193
+ - :type: CodeableConcept
3194
+ :strength: example
3195
+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
3196
+ :path: procedure.procedure
3197
+ - :type: CodeableConcept
3198
+ :strength: extensible
3199
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
3200
+ :path: accident.type
3201
+ - :type: CodeableConcept
3202
+ :strength: example
3203
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
3204
+ :path: item.revenue
3205
+ - :type: CodeableConcept
3206
+ :strength: example
3207
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
3208
+ :path: item.category
3209
+ - :type: CodeableConcept
3210
+ :strength: required
3211
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANDCOrCompound
3212
+ :path: item.productOrService
3213
+ - :type: CodeableConcept
3214
+ :strength: example
3215
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
3216
+ :path: item.modifier
3217
+ - :type: CodeableConcept
3218
+ :strength: example
3219
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
3220
+ :path: item.programCode
3221
+ - :type: CodeableConcept
3222
+ :strength: example
3223
+ :system: http://hl7.org/fhir/ValueSet/service-place
3224
+ :path: item.location
3225
+ - :type: CodeableConcept
3226
+ :strength: example
3227
+ :system: http://hl7.org/fhir/ValueSet/tooth
3228
+ :path: item.bodySite
3229
+ - :type: CodeableConcept
3230
+ :strength: example
3231
+ :system: http://hl7.org/fhir/ValueSet/surface
3232
+ :path: item.subSite
3233
+ - :type: CodeableConcept
3234
+ :strength: required
3235
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
3236
+ :path: item.adjudication.category
3237
+ - :type: CodeableConcept
3238
+ :strength: example
3239
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
3240
+ :path: item.adjudication.reason
3241
+ - :type: CodeableConcept
3242
+ :strength: required
3243
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
3244
+ :path: item.adjudication.category
3245
+ - :type: CodeableConcept
3246
+ :strength: example
3247
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
3248
+ :path: item.adjudication.reason
3249
+ - :type: CodeableConcept
3250
+ :strength: example
3251
+ :system: http://hl7.org/fhir/ValueSet/adjudication
3252
+ :path: item.adjudication.category
3253
+ - :type: CodeableConcept
3254
+ :strength: required
3255
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/NCPDPRejectCode
3256
+ :path: item.adjudication.reason
3257
+ - :type: CodeableConcept
3258
+ :strength: example
3259
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
3260
+ :path: item.detail.revenue
3261
+ - :type: CodeableConcept
3262
+ :strength: example
3263
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
3264
+ :path: item.detail.category
3265
+ - :type: CodeableConcept
3266
+ :strength: required
3267
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/FDANationalDrugCode
3268
+ :path: item.detail.productOrService
3269
+ - :type: CodeableConcept
3270
+ :strength: example
3271
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
3272
+ :path: item.detail.modifier
3273
+ - :type: CodeableConcept
3274
+ :strength: example
3275
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
3276
+ :path: item.detail.programCode
3277
+ - :type: CodeableConcept
3278
+ :strength: example
3279
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
3280
+ :path: item.detail.subDetail.revenue
3281
+ - :type: CodeableConcept
3282
+ :strength: example
3283
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
3284
+ :path: item.detail.subDetail.category
3285
+ - :type: CodeableConcept
3286
+ :strength: example
3287
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
3288
+ :path: item.detail.subDetail.productOrService
3289
+ - :type: CodeableConcept
3290
+ :strength: example
3291
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
3292
+ :path: item.detail.subDetail.modifier
3293
+ - :type: CodeableConcept
3294
+ :strength: example
3295
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
3296
+ :path: item.detail.subDetail.programCode
3297
+ - :type: CodeableConcept
3298
+ :strength: example
3299
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
3300
+ :path: addItem.productOrService
3301
+ - :type: CodeableConcept
3302
+ :strength: example
3303
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
3304
+ :path: addItem.modifier
3305
+ - :type: CodeableConcept
3306
+ :strength: example
3307
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
3308
+ :path: addItem.programCode
3309
+ - :type: CodeableConcept
3310
+ :strength: example
3311
+ :system: http://hl7.org/fhir/ValueSet/service-place
3312
+ :path: addItem.location
3313
+ - :type: CodeableConcept
3314
+ :strength: example
3315
+ :system: http://hl7.org/fhir/ValueSet/tooth
3316
+ :path: addItem.bodySite
3317
+ - :type: CodeableConcept
3318
+ :strength: example
3319
+ :system: http://hl7.org/fhir/ValueSet/surface
3320
+ :path: addItem.subSite
3321
+ - :type: CodeableConcept
3322
+ :strength: example
3323
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
3324
+ :path: addItem.detail.productOrService
3325
+ - :type: CodeableConcept
3326
+ :strength: example
3327
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
3328
+ :path: addItem.detail.modifier
3329
+ - :type: CodeableConcept
3330
+ :strength: example
3331
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
3332
+ :path: addItem.detail.subDetail.productOrService
3333
+ - :type: CodeableConcept
3334
+ :strength: example
3335
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
3336
+ :path: addItem.detail.subDetail.modifier
3337
+ - :type: CodeableConcept
3338
+ :strength: extensible
3339
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator
3340
+ :path: total.category
3341
+ - :type: CodeableConcept
3342
+ :strength: required
3343
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
3344
+ :path: total.category
3345
+ - :type: CodeableConcept
3346
+ :strength: required
3347
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
3348
+ :path: total.category
3349
+ - :type: CodeableConcept
3350
+ :strength: required
3351
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
3352
+ :path: payment.type
3353
+ - :type: CodeableConcept
3354
+ :strength: example
3355
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
3356
+ :path: payment.adjustmentReason
3357
+ - :type: CodeableConcept
3358
+ :strength: example
3359
+ :system: http://hl7.org/fhir/ValueSet/forms
3360
+ :path: formCode
3361
+ - :type: code
3362
+ :strength: required
3363
+ :system: http://hl7.org/fhir/ValueSet/note-type
3364
+ :path: processNote.type
3365
+ - :type: CodeableConcept
3366
+ :strength: preferred
3367
+ :system: http://hl7.org/fhir/ValueSet/languages
3368
+ :path: processNote.language
3369
+ - :type: CodeableConcept
3370
+ :strength: example
3371
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
3372
+ :path: benefitBalance.category
3373
+ - :type: CodeableConcept
3374
+ :strength: example
3375
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
3376
+ :path: benefitBalance.network
3377
+ - :type: CodeableConcept
3378
+ :strength: example
3379
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
3380
+ :path: benefitBalance.unit
3381
+ - :type: CodeableConcept
3382
+ :strength: example
3383
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
3384
+ :path: benefitBalance.term
3385
+ - :type: CodeableConcept
3386
+ :strength: example
3387
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
3388
+ :path: benefitBalance.financial.type
3389
+ :references:
3390
+ - :path: ExplanationOfBenefit.identifier.assigner
3391
+ :profiles:
3392
+ - http://hl7.org/fhir/StructureDefinition/Organization
3393
+ - :path: ExplanationOfBenefit.patient
3394
+ :profiles:
3395
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
3396
+ - :path: ExplanationOfBenefit.enterer
3397
+ :profiles:
3398
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
3399
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
3400
+ - :path: ExplanationOfBenefit.insurer
3401
+ :profiles:
3402
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
3403
+ - :path: ExplanationOfBenefit.provider
3404
+ :profiles:
3405
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
3406
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
3407
+ - :path: ExplanationOfBenefit.related.claim
3408
+ :profiles:
3409
+ - http://hl7.org/fhir/StructureDefinition/Claim
3410
+ - :path: ExplanationOfBenefit.prescription
3411
+ :profiles:
3412
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
3413
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
3414
+ - :path: ExplanationOfBenefit.originalPrescription
3415
+ :profiles:
3416
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
3417
+ - :path: ExplanationOfBenefit.payee.party
3418
+ :profiles:
3419
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
3420
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
3421
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
3422
+ - :path: ExplanationOfBenefit.referral
3423
+ :profiles:
3424
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
3425
+ - :path: ExplanationOfBenefit.facility
3426
+ :profiles:
3427
+ - http://hl7.org/fhir/StructureDefinition/Location
3428
+ - :path: ExplanationOfBenefit.claim
3429
+ :profiles:
3430
+ - http://hl7.org/fhir/StructureDefinition/Claim
3431
+ - :path: ExplanationOfBenefit.claimResponse
3432
+ :profiles:
3433
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
3434
+ - :path: ExplanationOfBenefit.careTeam.provider
3435
+ :profiles:
3436
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
3437
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
3438
+ - :path: ExplanationOfBenefit.procedure.udi
3439
+ :profiles:
3440
+ - http://hl7.org/fhir/StructureDefinition/Device
3441
+ - :path: ExplanationOfBenefit.insurance.coverage
3442
+ :profiles:
3443
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
3444
+ - :path: ExplanationOfBenefit.item.udi
3445
+ :profiles:
3446
+ - http://hl7.org/fhir/StructureDefinition/Device
3447
+ - :path: ExplanationOfBenefit.item.encounter
3448
+ :profiles:
3449
+ - http://hl7.org/fhir/StructureDefinition/Encounter
3450
+ - :path: ExplanationOfBenefit.item.detail.udi
3451
+ :profiles:
3452
+ - http://hl7.org/fhir/StructureDefinition/Device
3453
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
3454
+ :profiles:
3455
+ - http://hl7.org/fhir/StructureDefinition/Device
3456
+ - :path: ExplanationOfBenefit.addItem.provider
3457
+ :profiles:
3458
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
3459
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
3460
+ - http://hl7.org/fhir/StructureDefinition/Organization
3461
+ :delayed_references:
3462
+ - :path: insurer
3463
+ :resources:
3464
+ - Organization
3465
+ - :path: provider
3466
+ :resources:
3467
+ - Organization
3468
+ - Practitioner
3469
+ - :path: payee.party
3470
+ :resources:
3471
+ - Organization
3472
+ - Practitioner
3473
+ - :path: careTeam.provider
3474
+ :resources:
3475
+ - Organization
3476
+ - Practitioner
3477
+ - :path: insurance.coverage
3478
+ :resources:
3479
+ - Coverage
3480
+ - :name: C4BB_ExplanationOfBenefit_Professional_NonClinician
3481
+ :class_name: C4bbExplanationofbenefitProfessionalNonclinicianSequence
3482
+ :version: v1.1.0
3483
+ :reformatted_version: v110
3484
+ :resource: ExplanationOfBenefit
3485
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Professional-NonClinician
3486
+ :profile_name: C4BB ExplanationOfBenefit Professional NonClinician
3487
+ :profile_version: 1.1.0
3488
+ :title: ExplanationOfBenefit Professional NonClinician
3489
+ :short_description: Verify support for the server capabilities required by the C4BB
3490
+ ExplanationOfBenefit Professional NonClinician.
3491
+ :interactions:
3492
+ - :code: search-type
3493
+ :expectation: SHALL
3494
+ - :code: read
3495
+ :expectation: SHALL
3496
+ :operations: []
3497
+ :searches:
3498
+ - :names:
3499
+ - _id
3500
+ :expectation: SHALL
3501
+ - :names:
3502
+ - patient
3503
+ :expectation: SHALL
3504
+ - :names:
3505
+ - _lastUpdated
3506
+ :expectation: SHALL
3507
+ - :names:
3508
+ - type
3509
+ :expectation: SHALL
3510
+ - :names:
3511
+ - identifier
3512
+ :expectation: SHALL
3513
+ - :names:
3514
+ - service-date
3515
+ :expectation: SHALL
3516
+ :search_definitions:
3517
+ :_id:
3518
+ :paths: []
3519
+ :full_paths: []
3520
+ :values: []
3521
+ :contains_multiple: false
3522
+ :patient:
3523
+ :paths:
3524
+ - patient
3525
+ :full_paths:
3526
+ - ExplanationOfBenefit.patient
3527
+ :comparators: {}
3528
+ :values: []
3529
+ :type: Reference
3530
+ :contains_multiple: false
3531
+ :_lastUpdated:
3532
+ :paths: []
3533
+ :full_paths: []
3534
+ :values: []
3535
+ :contains_multiple: false
3536
+ :type:
3537
+ :paths:
3538
+ - type
3539
+ :full_paths:
3540
+ - ExplanationOfBenefit.type
3541
+ :comparators: {}
3542
+ :values:
3543
+ - professional
3544
+ :type: CodeableConcept
3545
+ :contains_multiple: false
3546
+ :identifier:
3547
+ :paths:
3548
+ - identifier
3549
+ :full_paths:
3550
+ - ExplanationOfBenefit.identifier
3551
+ :comparators: {}
3552
+ :values: []
3553
+ :type: Identifier
3554
+ :contains_multiple: true
3555
+ :service-date:
3556
+ :paths:
3557
+ - 'billablePeriod '
3558
+ - " item.serviced"
3559
+ :full_paths:
3560
+ - 'ExplanationOfBenefit.billablePeriod '
3561
+ - " ExplanationOfBenefit.item.serviced"
3562
+ :comparators:
3563
+ :eq: MAY
3564
+ :ne: MAY
3565
+ :gt: MAY
3566
+ :ge: MAY
3567
+ :lt: MAY
3568
+ :le: MAY
3569
+ :sa: MAY
3570
+ :eb: MAY
3571
+ :ap: MAY
3572
+ :values: []
3573
+ :type: date
3574
+ :contains_multiple: false
3575
+ :include_params: *1
3576
+ :revincludes: *2
3577
+ :required_concepts:
3578
+ - type
3579
+ - priority
3580
+ - related.relationship
3581
+ - payee.type
3582
+ - careTeam.role
3583
+ - careTeam.qualification
3584
+ - supportingInfo.code
3585
+ - supportingInfo.code
3586
+ - diagnosis.diagnosisCodeableConcept
3587
+ - diagnosis.type
3588
+ - item.productOrService
3589
+ - item.modifier
3590
+ - item.locationCodeableConcept
3591
+ - item.adjudication.category
3592
+ - item.adjudication.category
3593
+ - item.adjudication.reason
3594
+ - item.adjudication.category
3595
+ - total.category
3596
+ - payment.type
3597
+ :must_supports:
3598
+ :extensions: []
3599
+ :slices:
3600
+ - :name: ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus
3601
+ :path: supportingInfo
3602
+ :discriminator:
3603
+ :type: patternCodeableConcept
3604
+ :path: category
3605
+ :code: billingnetworkcontractingstatus
3606
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
3607
+ - :name: ExplanationOfBenefit.supportingInfo:performingnetworkcontractingstatus
3608
+ :path: supportingInfo
3609
+ :discriminator:
3610
+ :type: patternCodeableConcept
3611
+ :path: category
3612
+ :code: performingnetworkcontractingstatus
3613
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
3614
+ - :name: ExplanationOfBenefit.supportingInfo:clmrecvddate
3615
+ :path: supportingInfo
3616
+ :discriminator:
3617
+ :type: patternCodeableConcept
3618
+ :path: category
3619
+ :code: clmrecvddate
3620
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
3621
+ - :name: ExplanationOfBenefit.supportingInfo:servicefacility
3622
+ :path: supportingInfo
3623
+ :discriminator:
3624
+ :type: patternCodeableConcept
3625
+ :path: category
3626
+ :code: servicefacility
3627
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
3628
+ - :name: ExplanationOfBenefit.supportingInfo:medicalrecordnumber
3629
+ :path: supportingInfo
3630
+ :discriminator:
3631
+ :type: patternCodeableConcept
3632
+ :path: category
3633
+ :code: medicalrecordnumber
3634
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
3635
+ - :name: ExplanationOfBenefit.supportingInfo:patientaccountnumber
3636
+ :path: supportingInfo
3637
+ :discriminator:
3638
+ :type: patternCodeableConcept
3639
+ :path: category
3640
+ :code: patientaccountnumber
3641
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType
3642
+ - :name: ExplanationOfBenefit.item.adjudication:adjudicationamounttype
3643
+ :path: item.adjudication
3644
+ :discriminator:
3645
+ :type: requiredBinding
3646
+ :path: category
3647
+ :values:
3648
+ - submitted
3649
+ - copay
3650
+ - eligible
3651
+ - deductible
3652
+ - benefit
3653
+ - coinsurance
3654
+ - noncovered
3655
+ - priorpayerpaid
3656
+ - paidbypatient
3657
+ - paidtopatient
3658
+ - paidtoprovider
3659
+ - memberliability
3660
+ - discount
3661
+ - drugcost
3662
+ - :name: ExplanationOfBenefit.item.adjudication:denialreason
3663
+ :path: item.adjudication
3664
+ :discriminator:
3665
+ :type: patternCodeableConcept
3666
+ :path: category
3667
+ :code: denialreason
3668
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
3669
+ - :name: ExplanationOfBenefit.item.adjudication:benefitpaymentstatus
3670
+ :path: item.adjudication
3671
+ :discriminator:
3672
+ :type: requiredBinding
3673
+ :path: category
3674
+ :values:
3675
+ - innetwork
3676
+ - outofnetwork
3677
+ - other
3678
+ - :name: ExplanationOfBenefit.item.adjudication:allowedunits
3679
+ :path: item.adjudication
3680
+ :discriminator:
3681
+ :type: patternCodeableConcept
3682
+ :path: category
3683
+ :code: allowedunits
3684
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator
3685
+ - :name: ExplanationOfBenefit.total:adjudicationamounttype
3686
+ :path: total
3687
+ :discriminator:
3688
+ :type: requiredBinding
3689
+ :path: category
3690
+ :values:
3691
+ - submitted
3692
+ - copay
3693
+ - eligible
3694
+ - deductible
3695
+ - benefit
3696
+ - coinsurance
3697
+ - noncovered
3698
+ - priorpayerpaid
3699
+ - paidbypatient
3700
+ - paidtopatient
3701
+ - paidtoprovider
3702
+ - memberliability
3703
+ - discount
3704
+ - drugcost
3705
+ :elements:
3706
+ - :path: meta
3707
+ - :path: meta.lastUpdated
3708
+ - :path: identifier
3709
+ - :path: identifier.type
3710
+ - :path: status
3711
+ - :path: type.coding.code
3712
+ :fixed_value: professional
3713
+ - :path: use
3714
+ - :path: patient
3715
+ :types:
3716
+ - Reference
3717
+ - :path: billablePeriod
3718
+ - :path: insurer
3719
+ :types:
3720
+ - Reference
3721
+ - :path: provider
3722
+ :types:
3723
+ - Reference
3724
+ - :path: related
3725
+ - :path: related.relationship
3726
+ - :path: related.reference
3727
+ - :path: payee
3728
+ - :path: payee.type
3729
+ - :path: payee.party
3730
+ :types:
3731
+ - Reference
3732
+ - :path: outcome
3733
+ - :path: careTeam
3734
+ - :path: careTeam.provider
3735
+ :types:
3736
+ - Reference
3737
+ - :path: careTeam.role
3738
+ - :path: careTeam.qualification
3739
+ - :path: supportingInfo
3740
+ - :path: supportingInfo.category.coding.code
3741
+ :fixed_value: billingnetworkcontractingstatus
3742
+ - :path: supportingInfo.category.coding.code
3743
+ :fixed_value: performingnetworkcontractingstatus
3744
+ - :path: supportingInfo.code
3745
+ - :path: supportingInfo.category.coding.code
3746
+ :fixed_value: clmrecvddate
3747
+ - :path: supportingInfo.timing[x]
3748
+ - :path: supportingInfo.category.coding.code
3749
+ :fixed_value: servicefacility
3750
+ - :path: diagnosis
3751
+ - :path: diagnosis.diagnosis[x]
3752
+ - :path: diagnosis.type
3753
+ - :path: insurance
3754
+ - :path: insurance.focal
3755
+ - :path: insurance.coverage
3756
+ :types:
3757
+ - Reference
3758
+ - :path: item
3759
+ - :path: item.sequence
3760
+ - :path: item.productOrService
3761
+ - :path: item.modifier
3762
+ - :path: item.noteNumber
3763
+ - :path: item.adjudication
3764
+ - :path: item.adjudication.amount
3765
+ - :path: item.adjudication.category.coding.code
3766
+ :fixed_value: denialreason
3767
+ - :path: item.adjudication.reason
3768
+ - :path: item.adjudication.category
3769
+ - :path: item.adjudication.category.coding.code
3770
+ :fixed_value: allowedunits
3771
+ - :path: total
3772
+ - :path: total.category
3773
+ - :path: payment
3774
+ - :path: payment.type
3775
+ - :path: processNote
3776
+ :mandatory_elements:
3777
+ - ExplanationOfBenefit.meta
3778
+ - ExplanationOfBenefit.meta.lastUpdated
3779
+ - ExplanationOfBenefit.meta.profile
3780
+ - ExplanationOfBenefit.identifier
3781
+ - ExplanationOfBenefit.identifier.type
3782
+ - ExplanationOfBenefit.status
3783
+ - ExplanationOfBenefit.type
3784
+ - ExplanationOfBenefit.use
3785
+ - ExplanationOfBenefit.patient
3786
+ - ExplanationOfBenefit.created
3787
+ - ExplanationOfBenefit.insurer
3788
+ - ExplanationOfBenefit.provider
3789
+ - ExplanationOfBenefit.related.relationship
3790
+ - ExplanationOfBenefit.related.reference
3791
+ - ExplanationOfBenefit.payee.type
3792
+ - ExplanationOfBenefit.payee.party
3793
+ - ExplanationOfBenefit.outcome
3794
+ - ExplanationOfBenefit.careTeam.sequence
3795
+ - ExplanationOfBenefit.careTeam.provider
3796
+ - ExplanationOfBenefit.careTeam.role
3797
+ - ExplanationOfBenefit.supportingInfo.sequence
3798
+ - ExplanationOfBenefit.supportingInfo.category
3799
+ - ExplanationOfBenefit.supportingInfo.code
3800
+ - ExplanationOfBenefit.supportingInfo.timing[x]
3801
+ - ExplanationOfBenefit.supportingInfo.value[x]
3802
+ - ExplanationOfBenefit.diagnosis
3803
+ - ExplanationOfBenefit.diagnosis.sequence
3804
+ - ExplanationOfBenefit.diagnosis.diagnosis[x]
3805
+ - ExplanationOfBenefit.diagnosis.type
3806
+ - ExplanationOfBenefit.procedure.sequence
3807
+ - ExplanationOfBenefit.procedure.procedure[x]
3808
+ - ExplanationOfBenefit.insurance
3809
+ - ExplanationOfBenefit.insurance.focal
3810
+ - ExplanationOfBenefit.insurance.coverage
3811
+ - ExplanationOfBenefit.item.sequence
3812
+ - ExplanationOfBenefit.item.productOrService
3813
+ - ExplanationOfBenefit.item.adjudication
3814
+ - ExplanationOfBenefit.item.adjudication.category
3815
+ - ExplanationOfBenefit.item.adjudication.amount
3816
+ - ExplanationOfBenefit.item.adjudication.reason
3817
+ - ExplanationOfBenefit.item.detail.sequence
3818
+ - ExplanationOfBenefit.item.detail.productOrService
3819
+ - ExplanationOfBenefit.item.detail.subDetail.sequence
3820
+ - ExplanationOfBenefit.item.detail.subDetail.productOrService
3821
+ - ExplanationOfBenefit.addItem.productOrService
3822
+ - ExplanationOfBenefit.addItem.detail.productOrService
3823
+ - ExplanationOfBenefit.addItem.detail.subDetail.productOrService
3824
+ - ExplanationOfBenefit.total
3825
+ - ExplanationOfBenefit.total.category
3826
+ - ExplanationOfBenefit.total.amount
3827
+ - ExplanationOfBenefit.benefitBalance.category
3828
+ - ExplanationOfBenefit.benefitBalance.financial.type
3829
+ :bindings:
3830
+ - :type: Coding
3831
+ :strength: extensible
3832
+ :system: http://hl7.org/fhir/ValueSet/security-labels
3833
+ :path: meta.security
3834
+ - :type: Coding
3835
+ :strength: example
3836
+ :system: http://hl7.org/fhir/ValueSet/common-tags
3837
+ :path: meta.tag
3838
+ - :type: code
3839
+ :strength: preferred
3840
+ :system: http://hl7.org/fhir/ValueSet/languages
3841
+ :path: language
3842
+ - :type: code
3843
+ :strength: required
3844
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
3845
+ :path: identifier.use
3846
+ - :type: CodeableConcept
3847
+ :strength: extensible
3848
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType
3849
+ :path: identifier.type
3850
+ - :type: code
3851
+ :strength: required
3852
+ :system: http://hl7.org/fhir/ValueSet/explanationofbenefit-status
3853
+ :path: status
3854
+ - :type: CodeableConcept
3855
+ :strength: required
3856
+ :system: http://hl7.org/fhir/ValueSet/claim-type
3857
+ :path: type
3858
+ - :type: CodeableConcept
3859
+ :strength: example
3860
+ :system: http://hl7.org/fhir/ValueSet/claim-subtype
3861
+ :path: subType
3862
+ - :type: code
3863
+ :strength: required
3864
+ :system: http://hl7.org/fhir/ValueSet/claim-use
3865
+ :path: use
3866
+ - :type: CodeableConcept
3867
+ :strength: required
3868
+ :system: http://hl7.org/fhir/ValueSet/process-priority
3869
+ :path: priority
3870
+ - :type: CodeableConcept
3871
+ :strength: example
3872
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
3873
+ :path: fundsReserveRequested
3874
+ - :type: CodeableConcept
3875
+ :strength: example
3876
+ :system: http://hl7.org/fhir/ValueSet/fundsreserve
3877
+ :path: fundsReserve
3878
+ - :type: CodeableConcept
3879
+ :strength: required
3880
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes
3881
+ :path: related.relationship
3882
+ - :type: CodeableConcept
3883
+ :strength: required
3884
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType
3885
+ :path: payee.type
3886
+ - :type: code
3887
+ :strength: required
3888
+ :system: http://hl7.org/fhir/ValueSet/remittance-outcome
3889
+ :path: outcome
3890
+ - :type: CodeableConcept
3891
+ :strength: required
3892
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProfessionalAndNonClinicianCareTeamRole
3893
+ :path: careTeam.role
3894
+ - :type: CodeableConcept
3895
+ :strength: required
3896
+ :system: http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty
3897
+ :path: careTeam.qualification
3898
+ - :type: CodeableConcept
3899
+ :strength: extensible
3900
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3901
+ :path: supportingInfo.category
3902
+ - :type: CodeableConcept
3903
+ :strength: example
3904
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3905
+ :path: supportingInfo.code
3906
+ - :type: Coding
3907
+ :strength: example
3908
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3909
+ :path: supportingInfo.reason
3910
+ - :type: CodeableConcept
3911
+ :strength: extensible
3912
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3913
+ :path: supportingInfo.category
3914
+ - :type: CodeableConcept
3915
+ :strength: required
3916
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
3917
+ :path: supportingInfo.code
3918
+ - :type: Coding
3919
+ :strength: example
3920
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3921
+ :path: supportingInfo.reason
3922
+ - :type: CodeableConcept
3923
+ :strength: extensible
3924
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3925
+ :path: supportingInfo.category
3926
+ - :type: CodeableConcept
3927
+ :strength: required
3928
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus
3929
+ :path: supportingInfo.code
3930
+ - :type: Coding
3931
+ :strength: example
3932
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3933
+ :path: supportingInfo.reason
3934
+ - :type: CodeableConcept
3935
+ :strength: extensible
3936
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3937
+ :path: supportingInfo.category
3938
+ - :type: CodeableConcept
3939
+ :strength: example
3940
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3941
+ :path: supportingInfo.code
3942
+ - :type: Coding
3943
+ :strength: example
3944
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3945
+ :path: supportingInfo.reason
3946
+ - :type: CodeableConcept
3947
+ :strength: extensible
3948
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3949
+ :path: supportingInfo.category
3950
+ - :type: CodeableConcept
3951
+ :strength: example
3952
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3953
+ :path: supportingInfo.code
3954
+ - :type: Coding
3955
+ :strength: example
3956
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3957
+ :path: supportingInfo.reason
3958
+ - :type: CodeableConcept
3959
+ :strength: extensible
3960
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3961
+ :path: supportingInfo.category
3962
+ - :type: CodeableConcept
3963
+ :strength: example
3964
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3965
+ :path: supportingInfo.code
3966
+ - :type: Coding
3967
+ :strength: example
3968
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3969
+ :path: supportingInfo.reason
3970
+ - :type: CodeableConcept
3971
+ :strength: extensible
3972
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType
3973
+ :path: supportingInfo.category
3974
+ - :type: CodeableConcept
3975
+ :strength: example
3976
+ :system: http://hl7.org/fhir/ValueSet/claim-exception
3977
+ :path: supportingInfo.code
3978
+ - :type: Coding
3979
+ :strength: example
3980
+ :system: http://hl7.org/fhir/ValueSet/missing-tooth-reason
3981
+ :path: supportingInfo.reason
3982
+ - :type: CodeableConcept
3983
+ :strength: required
3984
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes
3985
+ :path: diagnosis.diagnosis
3986
+ - :type: CodeableConcept
3987
+ :strength: required
3988
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProfessionalAndNonClinicianDiagnosisType
3989
+ :path: diagnosis.type
3990
+ - :type: CodeableConcept
3991
+ :strength: example
3992
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
3993
+ :path: diagnosis.onAdmission
3994
+ - :type: CodeableConcept
3995
+ :strength: example
3996
+ :system: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
3997
+ :path: diagnosis.packageCode
3998
+ - :type: CodeableConcept
3999
+ :strength: example
4000
+ :system: http://hl7.org/fhir/ValueSet/ex-procedure-type
4001
+ :path: procedure.type
4002
+ - :type: CodeableConcept
4003
+ :strength: example
4004
+ :system: http://hl7.org/fhir/ValueSet/icd-10-procedures
4005
+ :path: procedure.procedure
4006
+ - :type: CodeableConcept
4007
+ :strength: extensible
4008
+ :system: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
4009
+ :path: accident.type
4010
+ - :type: CodeableConcept
4011
+ :strength: example
4012
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
4013
+ :path: item.revenue
4014
+ - :type: CodeableConcept
4015
+ :strength: example
4016
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
4017
+ :path: item.category
4018
+ - :type: CodeableConcept
4019
+ :strength: required
4020
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes
4021
+ :path: item.productOrService
4022
+ - :type: CodeableConcept
4023
+ :strength: required
4024
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers
4025
+ :path: item.modifier
4026
+ - :type: CodeableConcept
4027
+ :strength: example
4028
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
4029
+ :path: item.programCode
4030
+ - :type: CodeableConcept
4031
+ :strength: required
4032
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/CMSPlaceofServiceCodes
4033
+ :path: item.location
4034
+ - :type: CodeableConcept
4035
+ :strength: example
4036
+ :system: http://hl7.org/fhir/ValueSet/tooth
4037
+ :path: item.bodySite
4038
+ - :type: CodeableConcept
4039
+ :strength: example
4040
+ :system: http://hl7.org/fhir/ValueSet/surface
4041
+ :path: item.subSite
4042
+ - :type: CodeableConcept
4043
+ :strength: required
4044
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator
4045
+ :path: item.adjudication.category
4046
+ - :type: CodeableConcept
4047
+ :strength: example
4048
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
4049
+ :path: item.adjudication.reason
4050
+ - :type: CodeableConcept
4051
+ :strength: required
4052
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
4053
+ :path: item.adjudication.category
4054
+ - :type: CodeableConcept
4055
+ :strength: example
4056
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
4057
+ :path: item.adjudication.reason
4058
+ - :type: CodeableConcept
4059
+ :strength: example
4060
+ :system: http://hl7.org/fhir/ValueSet/adjudication
4061
+ :path: item.adjudication.category
4062
+ - :type: CodeableConcept
4063
+ :strength: required
4064
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes
4065
+ :path: item.adjudication.reason
4066
+ - :type: CodeableConcept
4067
+ :strength: required
4068
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus
4069
+ :path: item.adjudication.category
4070
+ - :type: CodeableConcept
4071
+ :strength: example
4072
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
4073
+ :path: item.adjudication.reason
4074
+ - :type: CodeableConcept
4075
+ :strength: example
4076
+ :system: http://hl7.org/fhir/ValueSet/adjudication
4077
+ :path: item.adjudication.category
4078
+ - :type: CodeableConcept
4079
+ :strength: example
4080
+ :system: http://hl7.org/fhir/ValueSet/adjudication-reason
4081
+ :path: item.adjudication.reason
4082
+ - :type: CodeableConcept
4083
+ :strength: example
4084
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
4085
+ :path: item.detail.revenue
4086
+ - :type: CodeableConcept
4087
+ :strength: example
4088
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
4089
+ :path: item.detail.category
4090
+ - :type: CodeableConcept
4091
+ :strength: example
4092
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
4093
+ :path: item.detail.productOrService
4094
+ - :type: CodeableConcept
4095
+ :strength: example
4096
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
4097
+ :path: item.detail.modifier
4098
+ - :type: CodeableConcept
4099
+ :strength: example
4100
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
4101
+ :path: item.detail.programCode
4102
+ - :type: CodeableConcept
4103
+ :strength: example
4104
+ :system: http://hl7.org/fhir/ValueSet/ex-revenue-center
4105
+ :path: item.detail.subDetail.revenue
4106
+ - :type: CodeableConcept
4107
+ :strength: example
4108
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
4109
+ :path: item.detail.subDetail.category
4110
+ - :type: CodeableConcept
4111
+ :strength: example
4112
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
4113
+ :path: item.detail.subDetail.productOrService
4114
+ - :type: CodeableConcept
4115
+ :strength: example
4116
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
4117
+ :path: item.detail.subDetail.modifier
4118
+ - :type: CodeableConcept
4119
+ :strength: example
4120
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
4121
+ :path: item.detail.subDetail.programCode
4122
+ - :type: CodeableConcept
4123
+ :strength: example
4124
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
4125
+ :path: addItem.productOrService
4126
+ - :type: CodeableConcept
4127
+ :strength: example
4128
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
4129
+ :path: addItem.modifier
4130
+ - :type: CodeableConcept
4131
+ :strength: example
4132
+ :system: http://hl7.org/fhir/ValueSet/ex-program-code
4133
+ :path: addItem.programCode
4134
+ - :type: CodeableConcept
4135
+ :strength: example
4136
+ :system: http://hl7.org/fhir/ValueSet/service-place
4137
+ :path: addItem.location
4138
+ - :type: CodeableConcept
4139
+ :strength: example
4140
+ :system: http://hl7.org/fhir/ValueSet/tooth
4141
+ :path: addItem.bodySite
4142
+ - :type: CodeableConcept
4143
+ :strength: example
4144
+ :system: http://hl7.org/fhir/ValueSet/surface
4145
+ :path: addItem.subSite
4146
+ - :type: CodeableConcept
4147
+ :strength: example
4148
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
4149
+ :path: addItem.detail.productOrService
4150
+ - :type: CodeableConcept
4151
+ :strength: example
4152
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
4153
+ :path: addItem.detail.modifier
4154
+ - :type: CodeableConcept
4155
+ :strength: example
4156
+ :system: http://hl7.org/fhir/ValueSet/service-uscls
4157
+ :path: addItem.detail.subDetail.productOrService
4158
+ - :type: CodeableConcept
4159
+ :strength: example
4160
+ :system: http://hl7.org/fhir/ValueSet/claim-modifiers
4161
+ :path: addItem.detail.subDetail.modifier
4162
+ - :type: CodeableConcept
4163
+ :strength: extensible
4164
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
4165
+ :path: total.category
4166
+ - :type: CodeableConcept
4167
+ :strength: required
4168
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication
4169
+ :path: total.category
4170
+ - :type: CodeableConcept
4171
+ :strength: required
4172
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode
4173
+ :path: payment.type
4174
+ - :type: CodeableConcept
4175
+ :strength: example
4176
+ :system: http://hl7.org/fhir/ValueSet/payment-adjustment-reason
4177
+ :path: payment.adjustmentReason
4178
+ - :type: CodeableConcept
4179
+ :strength: example
4180
+ :system: http://hl7.org/fhir/ValueSet/forms
4181
+ :path: formCode
4182
+ - :type: code
4183
+ :strength: required
4184
+ :system: http://hl7.org/fhir/ValueSet/note-type
4185
+ :path: processNote.type
4186
+ - :type: CodeableConcept
4187
+ :strength: preferred
4188
+ :system: http://hl7.org/fhir/ValueSet/languages
4189
+ :path: processNote.language
4190
+ - :type: CodeableConcept
4191
+ :strength: example
4192
+ :system: http://hl7.org/fhir/ValueSet/ex-benefitcategory
4193
+ :path: benefitBalance.category
4194
+ - :type: CodeableConcept
4195
+ :strength: example
4196
+ :system: http://hl7.org/fhir/ValueSet/benefit-network
4197
+ :path: benefitBalance.network
4198
+ - :type: CodeableConcept
4199
+ :strength: example
4200
+ :system: http://hl7.org/fhir/ValueSet/benefit-unit
4201
+ :path: benefitBalance.unit
4202
+ - :type: CodeableConcept
4203
+ :strength: example
4204
+ :system: http://hl7.org/fhir/ValueSet/benefit-term
4205
+ :path: benefitBalance.term
4206
+ - :type: CodeableConcept
4207
+ :strength: example
4208
+ :system: http://hl7.org/fhir/ValueSet/benefit-type
4209
+ :path: benefitBalance.financial.type
4210
+ :references:
4211
+ - :path: ExplanationOfBenefit.identifier.assigner
4212
+ :profiles:
4213
+ - http://hl7.org/fhir/StructureDefinition/Organization
4214
+ - :path: ExplanationOfBenefit.patient
4215
+ :profiles:
4216
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
4217
+ - :path: ExplanationOfBenefit.enterer
4218
+ :profiles:
4219
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
4220
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
4221
+ - :path: ExplanationOfBenefit.insurer
4222
+ :profiles:
4223
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
4224
+ - :path: ExplanationOfBenefit.provider
4225
+ :profiles:
4226
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
4227
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
4228
+ - :path: ExplanationOfBenefit.related.claim
4229
+ :profiles:
4230
+ - http://hl7.org/fhir/StructureDefinition/Claim
4231
+ - :path: ExplanationOfBenefit.prescription
4232
+ :profiles:
4233
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
4234
+ - http://hl7.org/fhir/StructureDefinition/VisionPrescription
4235
+ - :path: ExplanationOfBenefit.originalPrescription
4236
+ :profiles:
4237
+ - http://hl7.org/fhir/StructureDefinition/MedicationRequest
4238
+ - :path: ExplanationOfBenefit.payee.party
4239
+ :profiles:
4240
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
4241
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
4242
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
4243
+ - :path: ExplanationOfBenefit.referral
4244
+ :profiles:
4245
+ - http://hl7.org/fhir/StructureDefinition/ServiceRequest
4246
+ - :path: ExplanationOfBenefit.facility
4247
+ :profiles:
4248
+ - http://hl7.org/fhir/StructureDefinition/Location
4249
+ - :path: ExplanationOfBenefit.claim
4250
+ :profiles:
4251
+ - http://hl7.org/fhir/StructureDefinition/Claim
4252
+ - :path: ExplanationOfBenefit.claimResponse
4253
+ :profiles:
4254
+ - http://hl7.org/fhir/StructureDefinition/ClaimResponse
4255
+ - :path: ExplanationOfBenefit.careTeam.provider
4256
+ :profiles:
4257
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
4258
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
4259
+ - :path: ExplanationOfBenefit.supportingInfo.value[x]
4260
+ :profiles:
4261
+ - http://hl7.org/fhir/StructureDefinition/Resource
4262
+ - :path: ExplanationOfBenefit.supportingInfo.value[x]
4263
+ :profiles:
4264
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
4265
+ - :path: ExplanationOfBenefit.procedure.udi
4266
+ :profiles:
4267
+ - http://hl7.org/fhir/StructureDefinition/Device
4268
+ - :path: ExplanationOfBenefit.insurance.coverage
4269
+ :profiles:
4270
+ - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
4271
+ - :path: ExplanationOfBenefit.item.udi
4272
+ :profiles:
4273
+ - http://hl7.org/fhir/StructureDefinition/Device
4274
+ - :path: ExplanationOfBenefit.item.encounter
4275
+ :profiles:
4276
+ - http://hl7.org/fhir/StructureDefinition/Encounter
4277
+ - :path: ExplanationOfBenefit.item.detail.udi
4278
+ :profiles:
4279
+ - http://hl7.org/fhir/StructureDefinition/Device
4280
+ - :path: ExplanationOfBenefit.item.detail.subDetail.udi
4281
+ :profiles:
4282
+ - http://hl7.org/fhir/StructureDefinition/Device
4283
+ - :path: ExplanationOfBenefit.addItem.provider
4284
+ :profiles:
4285
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
4286
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
4287
+ - http://hl7.org/fhir/StructureDefinition/Organization
4288
+ :delayed_references:
4289
+ - :path: insurer
4290
+ :resources:
4291
+ - Organization
4292
+ - :path: provider
4293
+ :resources:
4294
+ - Organization
4295
+ - Practitioner
4296
+ - :path: payee.party
4297
+ :resources:
4298
+ - Organization
4299
+ - Practitioner
4300
+ - :path: careTeam.provider
4301
+ :resources:
4302
+ - Organization
4303
+ - Practitioner
4304
+ - :path: supportingInfo.value[x]
4305
+ :resources:
4306
+ - Organization
4307
+ - :path: insurance.coverage
4308
+ :resources:
4309
+ - Coverage
4310
+ - :name: C4BB_Organization
4311
+ :class_name: C4bbOrganizationSequence
4312
+ :version: v1.1.0
4313
+ :reformatted_version: v110
4314
+ :resource: Organization
4315
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization
4316
+ :profile_name: C4BB Organization
4317
+ :profile_version: 1.1.0
4318
+ :title: Organization
4319
+ :short_description: Verify support for the server capabilities required by the C4BB
4320
+ Organization.
4321
+ :interactions:
4322
+ - :code: read
4323
+ :expectation: SHALL
4324
+ - :code: vread
4325
+ :expectation: SHOULD
4326
+ :operations: []
4327
+ :searches: []
4328
+ :search_definitions: {}
4329
+ :include_params: []
4330
+ :revincludes: []
4331
+ :required_concepts: []
4332
+ :must_supports:
4333
+ :extensions: []
4334
+ :slices:
4335
+ - :name: Organization.identifier:NPI
4336
+ :path: identifier
4337
+ :discriminator:
4338
+ :type: patternIdentifier
4339
+ :path: ''
4340
+ :system: http://hl7.org/fhir/sid/us-npi
4341
+ - :name: Organization.identifier:tax
4342
+ :path: identifier
4343
+ :discriminator:
4344
+ :type: patternIdentifier
4345
+ :path: ''
4346
+ :system: urn:oid:2.16.840.1.113883.4.4
4347
+ - :name: Organization.identifier:payerid
4348
+ :path: identifier
4349
+ :discriminator:
4350
+ :type: patternIdentifier
4351
+ :path: ''
4352
+ :system:
4353
+ - :name: Organization.identifier:naiccode
4354
+ :path: identifier
4355
+ :discriminator:
4356
+ :type: patternIdentifier
4357
+ :path: ''
4358
+ :system: urn:oid:2.16.840.1.113883.6.300
4359
+ :elements:
4360
+ - :path: meta
4361
+ - :path: meta.lastUpdated
4362
+ - :path: identifier
4363
+ - :path: active
4364
+ - :path: name
4365
+ - :path: telecom
4366
+ - :path: address
4367
+ - :path: address.line
4368
+ - :path: address.city
4369
+ - :path: address.state
4370
+ - :path: address.postalCode
4371
+ - :path: address.country
4372
+ :mandatory_elements:
4373
+ - Organization.meta
4374
+ - Organization.meta.lastUpdated
4375
+ - Organization.meta.profile
4376
+ - Organization.active
4377
+ - Organization.name
4378
+ :bindings:
4379
+ - :type: Coding
4380
+ :strength: extensible
4381
+ :system: http://hl7.org/fhir/ValueSet/security-labels
4382
+ :path: meta.security
4383
+ - :type: Coding
4384
+ :strength: example
4385
+ :system: http://hl7.org/fhir/ValueSet/common-tags
4386
+ :path: meta.tag
4387
+ - :type: code
4388
+ :strength: preferred
4389
+ :system: http://hl7.org/fhir/ValueSet/languages
4390
+ :path: language
4391
+ - :type: CodeableConcept
4392
+ :strength: example
4393
+ :system: http://hl7.org/fhir/ValueSet/organization-type
4394
+ :path: type
4395
+ - :type: code
4396
+ :strength: required
4397
+ :system: http://hl7.org/fhir/ValueSet/address-use
4398
+ :path: address.use
4399
+ - :type: code
4400
+ :strength: required
4401
+ :system: http://hl7.org/fhir/ValueSet/address-type
4402
+ :path: address.type
4403
+ - :type: string
4404
+ :strength: extensible
4405
+ :system: http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
4406
+ :path: address.state
4407
+ - :type: CodeableConcept
4408
+ :strength: extensible
4409
+ :system: http://hl7.org/fhir/ValueSet/contactentity-type
4410
+ :path: contact.purpose
4411
+ :references:
4412
+ - :path: Organization.partOf
4413
+ :profiles:
4414
+ - http://hl7.org/fhir/StructureDefinition/Organization
4415
+ - :path: Organization.endpoint
4416
+ :profiles:
4417
+ - http://hl7.org/fhir/StructureDefinition/Endpoint
4418
+ :delayed_references: []
4419
+ - :name: C4BB_Patient
4420
+ :class_name: C4bbPatientSequence
4421
+ :version: v1.1.0
4422
+ :reformatted_version: v110
4423
+ :resource: Patient
4424
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient
4425
+ :profile_name: C4BB Patient
4426
+ :profile_version: 1.1.0
4427
+ :title: Patient
4428
+ :short_description: Verify support for the server capabilities required by the C4BB
4429
+ Patient.
4430
+ :interactions:
4431
+ - :code: read
4432
+ :expectation: SHALL
4433
+ - :code: vread
4434
+ :expectation: SHOULD
4435
+ :operations: []
4436
+ :searches: []
4437
+ :search_definitions: {}
4438
+ :include_params: []
4439
+ :revincludes: []
4440
+ :required_concepts: []
4441
+ :must_supports:
4442
+ :extensions:
4443
+ - :id: Patient.extension:race
4444
+ :url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
4445
+ - :id: Patient.extension:ethnicity
4446
+ :url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
4447
+ - :id: Patient.extension:birthsex
4448
+ :url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
4449
+ :slices:
4450
+ - :name: Patient.identifier:memberid
4451
+ :path: identifier
4452
+ :discriminator:
4453
+ :type: patternCodeableConcept
4454
+ :path: type
4455
+ :code: MB
4456
+ :system: http://terminology.hl7.org/CodeSystem/v2-0203
4457
+ - :name: Patient.identifier:uniquememberid
4458
+ :path: identifier
4459
+ :discriminator:
4460
+ :type: patternCodeableConcept
4461
+ :path: type
4462
+ :code: um
4463
+ :system: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
4464
+ :elements:
4465
+ - :path: meta
4466
+ - :path: meta.lastUpdated
4467
+ - :path: identifier
4468
+ - :path: identifier.system
4469
+ - :path: identifier.value
4470
+ - :path: name
4471
+ - :path: name.family
4472
+ - :path: name.given
4473
+ - :path: telecom
4474
+ - :path: telecom.system
4475
+ - :path: telecom.value
4476
+ - :path: telecom.use
4477
+ - :path: gender
4478
+ - :path: birthDate
4479
+ - :path: deceased[x]
4480
+ - :path: address
4481
+ - :path: address.line
4482
+ - :path: address.city
4483
+ - :path: address.district
4484
+ - :path: address.state
4485
+ - :path: address.postalCode
4486
+ - :path: address.country
4487
+ - :path: address.period
4488
+ - :path: communication
4489
+ - :path: communication.language
4490
+ :mandatory_elements:
4491
+ - Patient.meta
4492
+ - Patient.meta.lastUpdated
4493
+ - Patient.meta.profile
4494
+ - Patient.identifier
4495
+ - Patient.identifier.system
4496
+ - Patient.identifier.value
4497
+ - Patient.identifier.type
4498
+ - Patient.name
4499
+ - Patient.telecom.system
4500
+ - Patient.telecom.value
4501
+ - Patient.gender
4502
+ - Patient.communication.language
4503
+ - Patient.link.other
4504
+ - Patient.link.type
4505
+ :bindings:
4506
+ - :type: Coding
4507
+ :strength: extensible
4508
+ :system: http://hl7.org/fhir/ValueSet/security-labels
4509
+ :path: meta.security
4510
+ - :type: Coding
4511
+ :strength: example
4512
+ :system: http://hl7.org/fhir/ValueSet/common-tags
4513
+ :path: meta.tag
4514
+ - :type: code
4515
+ :strength: preferred
4516
+ :system: http://hl7.org/fhir/ValueSet/languages
4517
+ :path: language
4518
+ - :type: code
4519
+ :strength: required
4520
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
4521
+ :path: identifier.use
4522
+ - :type: CodeableConcept
4523
+ :strength: extensible
4524
+ :system: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPatientIdentifierType
4525
+ :path: identifier.type
4526
+ - :type: code
4527
+ :strength: required
4528
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
4529
+ :path: identifier.use
4530
+ - :type: CodeableConcept
4531
+ :strength: extensible
4532
+ :system: http://hl7.org/fhir/ValueSet/identifier-type
4533
+ :path: identifier.type
4534
+ - :type: code
4535
+ :strength: required
4536
+ :system: http://hl7.org/fhir/ValueSet/identifier-use
4537
+ :path: identifier.use
4538
+ - :type: CodeableConcept
4539
+ :strength: extensible
4540
+ :system: http://hl7.org/fhir/ValueSet/identifier-type
4541
+ :path: identifier.type
4542
+ - :type: code
4543
+ :strength: required
4544
+ :system: http://hl7.org/fhir/ValueSet/name-use
4545
+ :path: name.use
4546
+ - :type: code
4547
+ :strength: required
4548
+ :system: http://hl7.org/fhir/ValueSet/contact-point-system
4549
+ :path: telecom.system
4550
+ - :type: code
4551
+ :strength: required
4552
+ :system: http://hl7.org/fhir/ValueSet/contact-point-use
4553
+ :path: telecom.use
4554
+ - :type: code
4555
+ :strength: required
4556
+ :system: http://hl7.org/fhir/ValueSet/administrative-gender
4557
+ :path: gender
4558
+ - :type: code
4559
+ :strength: required
4560
+ :system: http://hl7.org/fhir/ValueSet/address-use
4561
+ :path: address.use
4562
+ - :type: code
4563
+ :strength: required
4564
+ :system: http://hl7.org/fhir/ValueSet/address-type
4565
+ :path: address.type
4566
+ - :type: string
4567
+ :strength: extensible
4568
+ :system: http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
4569
+ :path: address.state
4570
+ - :type: CodeableConcept
4571
+ :strength: extensible
4572
+ :system: http://hl7.org/fhir/ValueSet/marital-status
4573
+ :path: maritalStatus
4574
+ - :type: CodeableConcept
4575
+ :strength: extensible
4576
+ :system: http://hl7.org/fhir/ValueSet/patient-contactrelationship
4577
+ :path: contact.relationship
4578
+ - :type: code
4579
+ :strength: required
4580
+ :system: http://hl7.org/fhir/ValueSet/administrative-gender
4581
+ :path: contact.gender
4582
+ - :type: CodeableConcept
4583
+ :strength: extensible
4584
+ :system: http://hl7.org/fhir/us/core/ValueSet/simple-language
4585
+ :path: communication.language
4586
+ - :type: code
4587
+ :strength: required
4588
+ :system: http://hl7.org/fhir/ValueSet/link-type
4589
+ :path: link.type
4590
+ :references:
4591
+ - :path: Patient.identifier.assigner
4592
+ :profiles:
4593
+ - http://hl7.org/fhir/StructureDefinition/Organization
4594
+ - :path: Patient.identifier.assigner
4595
+ :profiles:
4596
+ - http://hl7.org/fhir/StructureDefinition/Organization
4597
+ - :path: Patient.identifier.assigner
4598
+ :profiles:
4599
+ - http://hl7.org/fhir/StructureDefinition/Organization
4600
+ - :path: Patient.contact.organization
4601
+ :profiles:
4602
+ - http://hl7.org/fhir/StructureDefinition/Organization
4603
+ - :path: Patient.generalPractitioner
4604
+ :profiles:
4605
+ - http://hl7.org/fhir/StructureDefinition/Organization
4606
+ - http://hl7.org/fhir/StructureDefinition/Practitioner
4607
+ - http://hl7.org/fhir/StructureDefinition/PractitionerRole
4608
+ - :path: Patient.managingOrganization
4609
+ :profiles:
4610
+ - http://hl7.org/fhir/StructureDefinition/Organization
4611
+ - :path: Patient.link.other
4612
+ :profiles:
4613
+ - http://hl7.org/fhir/StructureDefinition/Patient
4614
+ - http://hl7.org/fhir/StructureDefinition/RelatedPerson
4615
+ :delayed_references: []
4616
+ - :name: C4BB_Practitioner
4617
+ :class_name: C4bbPractitionerSequence
4618
+ :version: v1.1.0
4619
+ :reformatted_version: v110
4620
+ :resource: Practitioner
4621
+ :profile_url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner
4622
+ :profile_name: C4BB Practitioner
4623
+ :profile_version: 1.1.0
4624
+ :title: Practitioner
4625
+ :short_description: Verify support for the server capabilities required by the C4BB
4626
+ Practitioner.
4627
+ :interactions:
4628
+ - :code: read
4629
+ :expectation: SHALL
4630
+ - :code: vread
4631
+ :expectation: SHOULD
4632
+ :operations: []
4633
+ :searches: []
4634
+ :search_definitions: {}
4635
+ :include_params: []
4636
+ :revincludes: []
4637
+ :required_concepts: []
4638
+ :must_supports:
4639
+ :extensions: []
4640
+ :slices:
4641
+ - :name: Practitioner.identifier:NPI
4642
+ :path: identifier
4643
+ :discriminator:
4644
+ :type: patternIdentifier
4645
+ :path: ''
4646
+ :system: http://hl7.org/fhir/sid/us-npi
4647
+ - :name: Practitioner.identifier:tax
4648
+ :path: identifier
4649
+ :discriminator:
4650
+ :type: patternIdentifier
4651
+ :path: ''
4652
+ :system: urn:oid:2.16.840.1.113883.4.4
4653
+ :elements:
4654
+ - :path: meta
4655
+ - :path: meta.lastUpdated
4656
+ - :path: identifier
4657
+ - :path: name
4658
+ - :path: name.family
4659
+ :mandatory_elements:
4660
+ - Practitioner.meta
4661
+ - Practitioner.meta.lastUpdated
4662
+ - Practitioner.meta.profile
4663
+ - Practitioner.identifier
4664
+ - Practitioner.name
4665
+ - Practitioner.name.family
4666
+ - Practitioner.qualification.code
4667
+ :bindings:
4668
+ - :type: Coding
4669
+ :strength: extensible
4670
+ :system: http://hl7.org/fhir/ValueSet/security-labels
4671
+ :path: meta.security
4672
+ - :type: Coding
4673
+ :strength: example
4674
+ :system: http://hl7.org/fhir/ValueSet/common-tags
4675
+ :path: meta.tag
4676
+ - :type: code
4677
+ :strength: preferred
4678
+ :system: http://hl7.org/fhir/ValueSet/languages
4679
+ :path: language
4680
+ - :type: code
4681
+ :strength: required
4682
+ :system: http://hl7.org/fhir/ValueSet/name-use
4683
+ :path: name.use
4684
+ - :type: code
4685
+ :strength: required
4686
+ :system: http://hl7.org/fhir/ValueSet/administrative-gender
4687
+ :path: gender
4688
+ - :type: CodeableConcept
4689
+ :strength: example
4690
+ :system: http://terminology.hl7.org/ValueSet/v2-2.7-0360
4691
+ :path: qualification.code
4692
+ - :type: CodeableConcept
4693
+ :strength: preferred
4694
+ :system: http://hl7.org/fhir/ValueSet/languages
4695
+ :path: communication
4696
+ :references:
4697
+ - :path: Practitioner.qualification.issuer
4698
+ :profiles:
4699
+ - http://hl7.org/fhir/StructureDefinition/Organization
4700
+ :delayed_references: []