This page is part of the FHIR Specification (v3.5a.0: R4 Ballot 4). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions
Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
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StructureDefinition for explanationofbenefit
@prefix fhir: <http://hl7.org/fhir/> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . # - resource ------------------------------------------------------------------- [] a fhir:StructureDefinition; fhir:Resource.id [ fhir:value "ExplanationOfBenefit"]; fhir:Resource.meta [ fhir:Meta.lastUpdated [ fhir:value "2018-08-19T21:48:56.559+10:00" ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ]; fhir:Extension.value [ fhir:value "Financial.General" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ]; fhir:Extension.value [ fhir:value "Trial Use" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ]; fhir:Extension.value [ fhir:value "2" ] ], [ fhir:index 3; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ]; fhir:Extension.value [ fhir:value "fm" ] ]; fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"]; fhir:StructureDefinition.name [ fhir:value "ExplanationOfBenefit"]; fhir:StructureDefinition.status [ fhir:value "draft"]; fhir:StructureDefinition.date [ fhir:value "2018-08-19T21:48:56+10:00"]; fhir:StructureDefinition.publisher [ fhir:value "Health Level Seven International (Financial Management)"]; fhir:StructureDefinition.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ] ] ], [ fhir:index 1; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm/index.cfm" ] ] ]; fhir:StructureDefinition.description [ fhir:value "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided."]; fhir:StructureDefinition.fhirVersion [ fhir:value "3.5a.0"]; fhir:StructureDefinition.mapping [ fhir:index 0; fhir:StructureDefinition.identity [ fhir:value "workflow" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/fhir/workflow" ]; fhir:StructureDefinition.name [ fhir:value "Workflow Pattern" ] ], [ fhir:index 1; fhir:StructureDefinition.identity [ fhir:value "w5" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/fhir/fivews" ]; fhir:StructureDefinition.name [ fhir:value "FiveWs Pattern" ] ], [ fhir:index 2; fhir:StructureDefinition.identity [ fhir:value "v2" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/v2" ]; fhir:StructureDefinition.name [ fhir:value "HL7 v2 Mapping" ] ], [ fhir:index 3; fhir:StructureDefinition.identity [ fhir:value "rim" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/v3" ]; fhir:StructureDefinition.name [ fhir:value "RIM Mapping" ] ]; fhir:StructureDefinition.kind [ fhir:value "resource"]; fhir:StructureDefinition.abstract [ fhir:value "false"]; fhir:StructureDefinition.type [ fhir:value "ExplanationOfBenefit"]; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource"]; fhir:StructureDefinition.derivation [ fhir:value "specialization"]; fhir:StructureDefinition.snapshot [ fhir:StructureDefinition.element [ fhir:index 0; fhir:Element.id [ fhir:value "ExplanationOfBenefit" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit" ]; fhir:ElementDefinition.short [ fhir:value "Explanation of Benefit resource" ]; fhir:ElementDefinition.definition [ fhir:value "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided." ]; fhir:ElementDefinition.alias [ fhir:value "EOB"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "dom-2" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ]; fhir:ElementDefinition.expression [ fhir:value "contained.contained.empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(parent::f:contained and f:contained)" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 1; fhir:ElementDefinition.key [ fhir:value "dom-4" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ]; fhir:ElementDefinition.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 2; fhir:ElementDefinition.key [ fhir:value "dom-3" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ]; fhir:ElementDefinition.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 3; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ]; fhir:Extension.value [ fhir:value "true" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ]; fhir:Extension.value [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ]; fhir:ElementDefinition.key [ fhir:value "dom-6" ]; fhir:ElementDefinition.severity [ fhir:value "warning" ]; fhir:ElementDefinition.human [ fhir:value "A resource should have narrative for robust management" ]; fhir:ElementDefinition.expression [ fhir:value "text.div.exists()" ]; fhir:ElementDefinition.xpath [ fhir:value "exists(f:text/h:div)" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 4; fhir:ElementDefinition.key [ fhir:value "dom-5" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ]; fhir:ElementDefinition.expression [ fhir:value "contained.meta.security.empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "Entity. Role, or Act" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "ExplanationOfBenefit.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.id" ]; fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ]; fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ]; fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "id" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta" ]; fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ]; fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.meta" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Meta" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "ExplanationOfBenefit.implicitRules" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.implicitRules" ]; fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ]; fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ]; fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.implicitRules" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "ExplanationOfBenefit.language" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.language" ]; fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ]; fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ]; fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.language" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ]; fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Language" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.description [ fhir:value "A human language." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "ExplanationOfBenefit.text" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.text" ]; fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ]; fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ]; fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ]; fhir:ElementDefinition.alias [ fhir:value "narrative"; fhir:index 0 ], [ fhir:value "html"; fhir:index 1 ], [ fhir:value "xhtml"; fhir:index 2 ], [ fhir:value "display"; fhir:index 3 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.text" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Narrative" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "Act.text?" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "ExplanationOfBenefit.contained" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.contained" ]; fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ]; fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ]; fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ]; fhir:ElementDefinition.alias [ fhir:value "inline resources"; fhir:index 0 ], [ fhir:value "anonymous resources"; fhir:index 1 ], [ fhir:value "contained resources"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.contained" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Resource" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "ExplanationOfBenefit.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Business Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "The EOB Business Identifier." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.identifier" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.identifier" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "ExplanationOfBenefit.status" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.status" ]; fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ]; fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.status" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ExplanationOfBenefitStatus" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "A code specifying the state of the resource instance." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/explanationofbenefit-status" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.status" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.status" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "ExplanationOfBenefit.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.type" ]; fhir:ElementDefinition.short [ fhir:value "Type or discipline" ]; fhir:ElementDefinition.definition [ fhir:value "The category of claim, e.g, oral, pharmacy, vision, institutional, professional." ]; fhir:ElementDefinition.comment [ fhir:value "Affects which fields and value sets are used." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.type" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ClaimType" ] ]; fhir:ElementDefinition.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.description [ fhir:value "The type or discipline-style of the claim." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-type" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.code" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "ExplanationOfBenefit.subType" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.subType" ]; fhir:ElementDefinition.short [ fhir:value "Finer grained claim type information" ]; fhir:ElementDefinition.definition [ fhir:value "A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the CMS Bill Type." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.subType" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ClaimSubType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "A more granulat claim typecode." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-subtype" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "ExplanationOfBenefit.use" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.use" ]; fhir:ElementDefinition.short [ fhir:value "claim | preauthorization | predetermination" ]; fhir:ElementDefinition.definition [ fhir:value "A claim, a list of completed goods and services; a preauthorization, a list or proposed goods and services; or a predetermination, a set of goods and services being considered, for which insurer adjudication is sought." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.use" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Use" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "Complete, proposed, exploratory, other." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-use" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "ExplanationOfBenefit.patient" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.patient" ]; fhir:ElementDefinition.short [ fhir:value "The subject of the Products and Services" ]; fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.patient" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.subject" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject[x]" ] ], [ fhir:index 2; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject" ] ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ]; fhir:ElementDefinition.short [ fhir:value "Period for charge submission" ]; fhir:ElementDefinition.definition [ fhir:value "The billable period for which charges are being submitted." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "ExplanationOfBenefit.created" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.created" ]; fhir:ElementDefinition.short [ fhir:value "Creation date" ]; fhir:ElementDefinition.definition [ fhir:value "The date when this resource was created." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.created" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.occurrence[x]" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.recorded" ] ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "ExplanationOfBenefit.enterer" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.enterer" ]; fhir:ElementDefinition.short [ fhir:value "Author" ]; fhir:ElementDefinition.definition [ fhir:value "The person who created the explanation of benefit." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.enterer" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.performer.agent" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.author" ] ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurer" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurer" ]; fhir:ElementDefinition.short [ fhir:value "Insurer responsible for the EOB" ]; fhir:ElementDefinition.definition [ fhir:value "The insurer which is responsible for the explanation of benefit." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurer" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.performer.agent" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.author" ] ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "ExplanationOfBenefit.provider" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.provider" ]; fhir:ElementDefinition.short [ fhir:value "Responsible provider for the claim" ]; fhir:ElementDefinition.definition [ fhir:value "The provider which is responsible for the claim." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.provider" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "ExplanationOfBenefit.referral" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.referral" ]; fhir:ElementDefinition.short [ fhir:value "Treatment Referral" ]; fhir:ElementDefinition.definition [ fhir:value "The referral resource which lists the date, practitioner, reason and other supporting information." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.referral" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.cause" ] ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "ExplanationOfBenefit.facility" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.facility" ]; fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ]; fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.facility" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.performer.location" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "ExplanationOfBenefit.claim" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claim" ]; fhir:ElementDefinition.short [ fhir:value "Claim reference" ]; fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claim" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Claim"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.why[x]" ] ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "ExplanationOfBenefit.claimResponse" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claimResponse" ]; fhir:ElementDefinition.short [ fhir:value "Claim response reference" ]; fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claimResponse" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "ExplanationOfBenefit.outcome" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.outcome" ]; fhir:ElementDefinition.short [ fhir:value "queued | complete | error | partial" ]; fhir:ElementDefinition.definition [ fhir:value "Processing outcome errror, partial or complete processing." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.outcome" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RemittanceOutcome" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "The result of the claim processing." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/remittance-outcome" ] ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "ExplanationOfBenefit.disposition" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.disposition" ]; fhir:ElementDefinition.short [ fhir:value "Disposition Message" ]; fhir:ElementDefinition.definition [ fhir:value "A description of the status of the adjudication." ]; fhir:ElementDefinition.comment [ fhir:value "Do we need a disposition code?" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.disposition" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "RelatedClaim" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related" ]; fhir:ElementDefinition.short [ fhir:value "Related Claims which may be revelant to processing this claim" ]; fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior claim versions or for related services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.claim" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.claim" ]; fhir:ElementDefinition.short [ fhir:value "Reference to the related claim" ]; fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior claim versions or for related services." ]; fhir:ElementDefinition.comment [ fhir:value "Do we need a relationship code?" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.claim" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Claim"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.relationship" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.relationship" ]; fhir:ElementDefinition.short [ fhir:value "How the reference claim is related" ]; fhir:ElementDefinition.definition [ fhir:value "For example, prior or umbrella." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.relationship" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RelatedClaimRelationship" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Relationship of this claim to a related Claim." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/related-claim-relationship" ] ] ], [ fhir:index 32; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.reference" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.reference" ]; fhir:ElementDefinition.short [ fhir:value "Related file or case reference" ]; fhir:ElementDefinition.definition [ fhir:value "An alternate organizational reference to the case or file to which this particular claim pertains - e.g. Property/Casualy insurer claim # or Workers Compensation case # ." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.reference" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 33; fhir:Element.id [ fhir:value "ExplanationOfBenefit.prescription" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.prescription" ]; fhir:ElementDefinition.short [ fhir:value "Prescription authorizing services or products" ]; fhir:ElementDefinition.definition [ fhir:value "Prescription to support the dispensing of Pharmacy or Vision products." ]; fhir:ElementDefinition.requirements [ fhir:value "For type=Pharmacy and Vision only." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.prescription" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/VisionPrescription"; fhir:index 1 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 34; fhir:Element.id [ fhir:value "ExplanationOfBenefit.originalPrescription" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.originalPrescription" ]; fhir:ElementDefinition.short [ fhir:value "Original prescription if superceded by fulfiller" ]; fhir:ElementDefinition.definition [ fhir:value "Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.originalPrescription" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 35; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Payee" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee" ]; fhir:ElementDefinition.short [ fhir:value "Party to be paid any benefits payable" ]; fhir:ElementDefinition.definition [ fhir:value "The party to be reimbursed for the services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 36; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 37; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 38; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 39; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.type" ]; fhir:ElementDefinition.short [ fhir:value "Type of party: Subscriber, Provider, other" ]; fhir:ElementDefinition.definition [ fhir:value "Type of Party to be reimbursed: Subscriber, provider, other." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.type" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PayeeType" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "A code for the party to be reimbursed." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payeetype" ] ] ], [ fhir:index 40; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.resource" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.resource" ]; fhir:ElementDefinition.short [ fhir:value "organization | patient | practitioner | relatedperson" ]; fhir:ElementDefinition.definition [ fhir:value "organization | patient | practitioner | relatedperson." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.resource" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PayeeResourceType" ] ]; fhir:ElementDefinition.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.description [ fhir:value "The type of payee Resource." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/resource-type-link" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "v2" ]; fhir:ElementDefinition.map [ fhir:value "64" ] ] ], [ fhir:index 41; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.party" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.party" ]; fhir:ElementDefinition.short [ fhir:value "Party to receive the payable" ]; fhir:ElementDefinition.definition [ fhir:value "Party to be reimbursed: Subscriber, provider, other." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.party" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient"; fhir:index 3 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson"; fhir:index 4 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 42; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "SupportingInformation" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information" ]; fhir:ElementDefinition.short [ fhir:value "Exceptions, special considerations, the condition, situation, prior or concurrent issues" ]; fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required." ]; fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 43; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 44; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 45; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 46; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of the information element which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "To provide a reference link." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 47; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.category" ]; fhir:ElementDefinition.short [ fhir:value "General class of information" ]; fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.category" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "InformationCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The valuset used for additional information category codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-informationcategory" ] ] ], [ fhir:index 48; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.code" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.code" ]; fhir:ElementDefinition.short [ fhir:value "Type of information" ]; fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought which may influence the adjudication." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.code" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "InformationCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The valuset used for additional information codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-exception" ] ] ], [ fhir:index 49; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.timing[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.timing[x]" ]; fhir:ElementDefinition.short [ fhir:value "When it occurred" ]; fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.timing[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 50; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.value[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.value[x]" ]; fhir:ElementDefinition.short [ fhir:value "Additional Data or supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.value[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "string" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Quantity" ] ], [ fhir:index 3; fhir:ElementDefinition.code [ fhir:value "Attachment" ] ], [ fhir:index 4; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 51; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.reason" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.reason" ]; fhir:ElementDefinition.short [ fhir:value "Reason associated with the information" ]; fhir:ElementDefinition.definition [ fhir:value "For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.reason" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "MissingReason" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Reason codes for the missing teeth." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason" ] ] ], [ fhir:index 52; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "CareTeam" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam" ]; fhir:ElementDefinition.short [ fhir:value "Care Team members" ]; fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the overall service as well as their role and whether responsible and qualifications." ]; fhir:ElementDefinition.requirements [ fhir:value "Role and Responsible might not be required when there is only a single provider listed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 53; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 54; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 55; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 56; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Number to convey order of careteam" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of careteam which serves to order and provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to maintain order of the careteam members." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 57; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.provider" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.provider" ]; fhir:ElementDefinition.short [ fhir:value "Member of the Care Team" ]; fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the overall service." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.provider" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.actor" ] ] ], [ fhir:index 58; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ]; fhir:ElementDefinition.short [ fhir:value "Billing practitioner" ]; fhir:ElementDefinition.definition [ fhir:value "The practitioner who is billing and responsible for the claimed services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 59; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.role" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ]; fhir:ElementDefinition.short [ fhir:value "Role on the team" ]; fhir:ElementDefinition.definition [ fhir:value "The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "CareTeamRole" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The role codes for the care team members." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-careteamrole" ] ] ], [ fhir:index 60; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ]; fhir:ElementDefinition.short [ fhir:value "Type, classification or Specialization" ]; fhir:ElementDefinition.definition [ fhir:value "The qualification which is applicable for this service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProviderQualification" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Provider professional qualifications." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/provider-qualification" ] ] ], [ fhir:index 61; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Diagnosis" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis" ]; fhir:ElementDefinition.short [ fhir:value "List of Diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "Ordered list of patient diagnosis for which care is sought." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 62; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 63; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 64; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 65; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Number to convey order of diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of diagnosis which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to allow line items to reference the diagnoses." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 66; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The diagnosis." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to condition presented." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ICD10" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "ICD10 Diagnostic codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10" ] ] ], [ fhir:index 67; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ]; fhir:ElementDefinition.short [ fhir:value "Timing or nature of the diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The type of the Diagnosis, for example: admitting, primary, secondary, discharge." ]; fhir:ElementDefinition.comment [ fhir:value "Diagnosis are presented in list order to their expected importance: primary, secondary, etc." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to the mandated diagnosis grouping system." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "DiagnosisType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The type of the diagnosis: admitting, principal, discharge." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosistype" ] ] ], [ fhir:index 68; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ]; fhir:ElementDefinition.short [ fhir:value "Present on admission" ]; fhir:ElementDefinition.definition [ fhir:value "Indication of whether the diagnosis was present on admission to a facility." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "DiagnosisOnAdmission" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Present on admission." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission" ] ] ], [ fhir:index 69; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ]; fhir:ElementDefinition.short [ fhir:value "Package billing code" ]; fhir:ElementDefinition.definition [ fhir:value "The package billing code, for example DRG, based on the assigned grouping code system." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to the mandated grouping system." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "DiagnosisRelatedGroup" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The DRG codes associated with the diagnosis." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup" ] ] ], [ fhir:index 70; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Procedure" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure" ]; fhir:ElementDefinition.short [ fhir:value "Procedures performed" ]; fhir:ElementDefinition.definition [ fhir:value "Ordered list of patient procedures performed to support the adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 71; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 72; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 73; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 74; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Procedure sequence for reference" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of procedures which serves to order and provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to maintain order of the procudures." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 75; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.date" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.date" ]; fhir:ElementDefinition.short [ fhir:value "When the procedure was performed" ]; fhir:ElementDefinition.definition [ fhir:value "Date and optionally time the procedure was performed ." ]; fhir:ElementDefinition.comment [ fhir:value "SB DateTime??" ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.date" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 76; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's list of procedures performed" ]; fhir:ElementDefinition.definition [ fhir:value "The procedure code." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ICD10_Procedures" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "ICD10 Procedure codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10-procedures" ] ] ], [ fhir:index 77; fhir:Element.id [ fhir:value "ExplanationOfBenefit.precedence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.precedence" ]; fhir:ElementDefinition.short [ fhir:value "Precedence (primary, secondary, etc.)" ]; fhir:ElementDefinition.definition [ fhir:value "Precedence (primary, secondary, etc.)." ]; fhir:ElementDefinition.requirements [ fhir:value "Health care programs and insurers are significant payors of health service costs." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.precedence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 78; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Insurance" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance" ]; fhir:ElementDefinition.short [ fhir:value "Insurance or medical plan" ]; fhir:ElementDefinition.definition [ fhir:value "Financial instrument by which payment information for health care." ]; fhir:ElementDefinition.requirements [ fhir:value "Health care programs and insurers are significant payors of health service costs." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "v2" ]; fhir:ElementDefinition.map [ fhir:value "Coverage" ] ] ], [ fhir:index 79; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 80; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 81; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 82; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.focal" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.focal" ]; fhir:ElementDefinition.short [ fhir:value "Is the focal Coverage" ]; fhir:ElementDefinition.definition [ fhir:value "The instance number of the Coverage which is the focus for adjudication. The Coverage against which the claim was adjudicated." ]; fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage is being applied.." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.focal" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 83; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.coverage" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.coverage" ]; fhir:ElementDefinition.short [ fhir:value "Insurance information" ]; fhir:ElementDefinition.definition [ fhir:value "Reference to the program or plan identification, underwriter or payor." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.coverage" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 84; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Accident" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident" ]; fhir:ElementDefinition.short [ fhir:value "Details of an accident" ]; fhir:ElementDefinition.definition [ fhir:value "An accident which resulted in the need for healthcare services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 85; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 86; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 87; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 88; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.date" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.date" ]; fhir:ElementDefinition.short [ fhir:value "When the accident occurred" ]; fhir:ElementDefinition.definition [ fhir:value "Date of an accident which these services are addressing." ]; fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on accidents." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.date" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 89; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.type" ]; fhir:ElementDefinition.short [ fhir:value "The nature of the accident" ]; fhir:ElementDefinition.definition [ fhir:value "Type of accident: work, auto, etc." ]; fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on the type of accident." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.type" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "AccidentType" ] ]; fhir:ElementDefinition.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.description [ fhir:value "Type of accident: work place, auto, etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode" ] ] ], [ fhir:index 90; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.location[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.location[x]" ]; fhir:ElementDefinition.short [ fhir:value "Accident Place" ]; fhir:ElementDefinition.definition [ fhir:value "Where the accident occurred." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.location[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Address" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 91; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Item" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item" ]; fhir:ElementDefinition.short [ fhir:value "Goods and Services" ]; fhir:ElementDefinition.definition [ fhir:value "First-tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 92; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 93; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 94; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 95; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 96; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable careteam members" ]; fhir:ElementDefinition.definition [ fhir:value "Careteam applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 97; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable diagnoses" ]; fhir:ElementDefinition.definition [ fhir:value "Diagnosis applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 98; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable procedures" ]; fhir:ElementDefinition.definition [ fhir:value "Procedures applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 99; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.informationSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.informationSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable exception and supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Exceptions, special conditions and supporting information pplicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.informationSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 100; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.revenue" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.revenue" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ], [ fhir:index 101; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.category" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 102; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.billcode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 103; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 104; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.programCode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 105; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ]; fhir:ElementDefinition.short [ fhir:value "Date or dates of Service" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 106; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.location[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.location[x]" ]; fhir:ElementDefinition.short [ fhir:value "Place of service" ]; fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.location[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Address" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServicePlace" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Place where the service is rendered." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-place" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 107; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 108; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.unitPrice" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 109; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.factor" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 110; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.net" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 111; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.udi" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.udi" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 112; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.bodySite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.bodySite" ]; fhir:ElementDefinition.short [ fhir:value "Service Location" ]; fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.bodySite" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "OralSites" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/tooth" ] ] ], [ fhir:index 113; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.subSite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.subSite" ]; fhir:ElementDefinition.short [ fhir:value "Service Sub-location" ]; fhir:ElementDefinition.definition [ fhir:value "A region or surface of the site, e.g. limb region or tooth surface(s)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.subSite" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Surface" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the tooth surface and surface combinations." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/surface" ] ] ], [ fhir:index 114; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.encounter" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.encounter" ]; fhir:ElementDefinition.short [ fhir:value "Encounters related to this billed item" ]; fhir:ElementDefinition.definition [ fhir:value "A billed item may include goods or services provided in multiple encounters." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.encounter" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 115; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.noteNumber" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 116; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Adjudication" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication details" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 117; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 118; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 119; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 120; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication category such as co-pay, eligible, benefit, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Code indicating: Co-Pay, deductable, elegible, benefit, tax, etc." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Adjudication" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ] ] ], [ fhir:index 121; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ]; fhir:ElementDefinition.short [ fhir:value "Explanation of Adjudication outcome" ]; fhir:ElementDefinition.definition [ fhir:value "Adjudication reason such as limit reached." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "AdjudicationReason" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Adjudication reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason" ] ] ], [ fhir:index 122; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ]; fhir:ElementDefinition.short [ fhir:value "Monetary amount" ]; fhir:ElementDefinition.definition [ fhir:value "Monitory amount associated with the code." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 123; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ]; fhir:ElementDefinition.short [ fhir:value "Non-monitory value" ]; fhir:ElementDefinition.definition [ fhir:value "A non-monetary value for example a percentage. Mutually exclusive to the amount element above." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 124; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Detail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail" ]; fhir:ElementDefinition.short [ fhir:value "Additional items" ]; fhir:ElementDefinition.definition [ fhir:value "Second-tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 125; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 126; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 127; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 128; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 129; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ], [ fhir:index 130; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.category" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 131; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.billcode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 132; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 133; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 134; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 135; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 136; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.factor" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 137; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.net" ]; fhir:ElementDefinition.short [ fhir:value "Total additional item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.net" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 138; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.udi" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.udi" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 139; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 140; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Detail level adjudication details" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 141; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "SubDetail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ]; fhir:ElementDefinition.short [ fhir:value "Additional items" ]; fhir:ElementDefinition.definition [ fhir:value "Third-tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 142; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 143; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 144; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 145; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 146; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ], [ fhir:index 147; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 148; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.billcode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 149; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 150; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 151; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 152; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "The fee for an addittional service or product or charge." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 153; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 154; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ]; fhir:ElementDefinition.short [ fhir:value "Net additional item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 155; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 156; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 157; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Language if different from the resource" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 158; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "740;600" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "AddedItem" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem" ]; fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ]; fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for payor added services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 159; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 160; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 161; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 162; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instances" ]; fhir:ElementDefinition.definition [ fhir:value "List of input service items which this service line is intended to replace." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 163; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ]; fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ]; fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 164; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ]; fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ]; fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 165; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.provider" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.provider" ]; fhir:ElementDefinition.short [ fhir:value "Authorized providers" ]; fhir:ElementDefinition.definition [ fhir:value "The providers who are authorized for the services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.provider" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 166; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.billcode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 167; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 168; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reason codes for the inclusion or covering of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.programCode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 169; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ]; fhir:ElementDefinition.short [ fhir:value "Date or dates of Service" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 170; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ]; fhir:ElementDefinition.short [ fhir:value "Place of service" ]; fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Address" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServicePlace" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Place where the service is rendered." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-place" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 171; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.quantity" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 172; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 173; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.factor" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 174; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.net" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 175; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ]; fhir:ElementDefinition.short [ fhir:value "Service Location" ]; fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "OralSites" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/tooth" ] ] ], [ fhir:index 176; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subSite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subSite" ]; fhir:ElementDefinition.short [ fhir:value "Service Sub-location" ]; fhir:ElementDefinition.definition [ fhir:value "A region or surface of the site, e.g. limb region or tooth surface(s)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subSite" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Surface" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the tooth surface and surface combinations." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/surface" ] ] ], [ fhir:index 177; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 178; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 179; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "740;600" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "AddedItemDetail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail" ]; fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ]; fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for payor added services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 180; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 181; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 182; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 183; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.billcode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 184; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 185; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 186; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 187; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 188; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 189; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 190; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 191; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "740;600" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "AddedItemDetailSubDetail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ]; fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ]; fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for payor added services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 192; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 193; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 194; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 195; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.billcode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 196; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 197; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 198; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 199; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 200; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 201; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 202; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 203; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "'360;620" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Total" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ]; fhir:ElementDefinition.definition [ fhir:value "Totals for amounts submitted, co-pays, benefits payable etc." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 204; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 205; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 206; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 207; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication category such as submitted, co-pay, eligible, benefit, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Code indicating: Submitted, Co-Pay, deductible, eligible, benefit, tax, etc." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Adjudication" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ] ] ], [ fhir:index 208; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.amount" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ]; fhir:ElementDefinition.short [ fhir:value "Monetary amount" ]; fhir:ElementDefinition.definition [ fhir:value "Monitory amount associated with the code." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 209; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "360;650" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Payment" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment" ]; fhir:ElementDefinition.short [ fhir:value "Payment Details" ]; fhir:ElementDefinition.definition [ fhir:value "Payment details for the claim if the claim has been paid." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 210; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 211; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 212; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 213; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.type" ]; fhir:ElementDefinition.short [ fhir:value "Partial or Complete" ]; fhir:ElementDefinition.definition [ fhir:value "Whether this represents partial or complete payment of the claim." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.type" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PaymentType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The type (partial, complete) of the payment." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-paymenttype" ] ] ], [ fhir:index 214; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustment" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustment" ]; fhir:ElementDefinition.short [ fhir:value "Payment adjustment for non-Claim issues" ]; fhir:ElementDefinition.definition [ fhir:value "Adjustment to the payment of this transaction which is not related to adjudication of this transaction." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustment" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 215; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ]; fhir:ElementDefinition.short [ fhir:value "Explanation for the non-claim adjustment" ]; fhir:ElementDefinition.definition [ fhir:value "Reason for the payment adjustment." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PaymentAdjustmentReason" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Payment Adjustment reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payment-adjustment-reason" ] ] ], [ fhir:index 216; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.date" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.date" ]; fhir:ElementDefinition.short [ fhir:value "Expected date of Payment" ]; fhir:ElementDefinition.definition [ fhir:value "Estimated payment date." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.date" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 217; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.amount" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.amount" ]; fhir:ElementDefinition.short [ fhir:value "Payable amount after adjustment" ]; fhir:ElementDefinition.definition [ fhir:value "Payable less any payment adjustment." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.amount" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 218; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.identifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Identifier of the payment instrument" ]; fhir:ElementDefinition.definition [ fhir:value "Payment identifier." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.identifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 219; fhir:Element.id [ fhir:value "ExplanationOfBenefit.form" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.form" ]; fhir:ElementDefinition.short [ fhir:value "Printed Form Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "The form to be used for printing the content." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.form" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Forms" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The forms codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/forms" ] ] ], [ fhir:index 220; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Note" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote" ]; fhir:ElementDefinition.short [ fhir:value "Processing notes" ]; fhir:ElementDefinition.definition [ fhir:value "Note text." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 221; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 222; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 223; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 224; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.number" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.number" ]; fhir:ElementDefinition.short [ fhir:value "Sequence number for this note" ]; fhir:ElementDefinition.definition [ fhir:value "An integer associated with each note which may be referred to from each service line item." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.number" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 225; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.type" ]; fhir:ElementDefinition.short [ fhir:value "display | print | printoper" ]; fhir:ElementDefinition.definition [ fhir:value "The note purpose: Print/Display." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.type" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "NoteType" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "The presentation types of notes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/note-type" ] ] ], [ fhir:index 226; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.text" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.text" ]; fhir:ElementDefinition.short [ fhir:value "Note explanitory text" ]; fhir:ElementDefinition.definition [ fhir:value "The note text." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.text" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 227; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.language" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.language" ]; fhir:ElementDefinition.short [ fhir:value "Language if different from the resource" ]; fhir:ElementDefinition.definition [ fhir:value "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.language" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ]; fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Language" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.description [ fhir:value "A human language." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ] ] ], [ fhir:index 228; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "BenefitBalance" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance" ]; fhir:ElementDefinition.short [ fhir:value "Balance by Benefit Category" ]; fhir:ElementDefinition.definition [ fhir:value "Balance by Benefit Category." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 229; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 230; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 231; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 232; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of services covered" ]; fhir:ElementDefinition.definition [ fhir:value "Dental, Vision, Medical, Pharmacy, Rehab etc." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 233; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ]; fhir:ElementDefinition.short [ fhir:value "Excluded from the plan" ]; fhir:ElementDefinition.definition [ fhir:value "True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 234; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ]; fhir:ElementDefinition.short [ fhir:value "Short name for the benefit" ]; fhir:ElementDefinition.definition [ fhir:value "A short name or tag for the benefit, for example MED01, or DENT2." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 235; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ]; fhir:ElementDefinition.short [ fhir:value "Description of the benefit or services covered" ]; fhir:ElementDefinition.definition [ fhir:value "A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 236; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ]; fhir:ElementDefinition.short [ fhir:value "In or out of network" ]; fhir:ElementDefinition.definition [ fhir:value "Network designation." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitNetwork" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Code to classify in or out of network services." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-network" ] ] ], [ fhir:index 237; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ]; fhir:ElementDefinition.short [ fhir:value "Individual or family" ]; fhir:ElementDefinition.definition [ fhir:value "Unit designation: individual or family." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitUnit" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Unit covered/serviced - individual or family." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-unit" ] ] ], [ fhir:index 238; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ]; fhir:ElementDefinition.short [ fhir:value "Annual or lifetime" ]; fhir:ElementDefinition.definition [ fhir:value "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitTerm" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Coverage unit - annual, lifetime." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-term" ] ] ], [ fhir:index 239; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Benefit" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ]; fhir:ElementDefinition.short [ fhir:value "Benefit Summary" ]; fhir:ElementDefinition.definition [ fhir:value "Benefits Used to date." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 240; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.id" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 241; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.extension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 242; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 243; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ]; fhir:ElementDefinition.short [ fhir:value "Deductable, visits, benefit amount" ]; fhir:ElementDefinition.definition [ fhir:value "Deductable, visits, benefit amount." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Deductable, visits, co-pay, etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-type" ] ] ], [ fhir:index 244; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ]; fhir:ElementDefinition.short [ fhir:value "Benefits allowed" ]; fhir:ElementDefinition.definition [ fhir:value "Benefits allowed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "unsignedInt" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "string" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 245; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ]; fhir:ElementDefinition.short [ fhir:value "Benefits used" ]; fhir:ElementDefinition.definition [ fhir:value "Benefits used." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "unsignedInt" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ] ]; fhir:StructureDefinition.differential [ fhir:StructureDefinition.element [ fhir:index 0; fhir:Element.id [ fhir:value "ExplanationOfBenefit" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit" ]; fhir:ElementDefinition.short [ fhir:value "Explanation of Benefit resource" ]; fhir:ElementDefinition.definition [ fhir:value "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided." ]; fhir:ElementDefinition.alias [ fhir:value "EOB"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Business Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "The EOB Business Identifier." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.identifier" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.identifier" ] ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "ExplanationOfBenefit.status" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.status" ]; fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ]; fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ExplanationOfBenefitStatus" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "A code specifying the state of the resource instance." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/explanationofbenefit-status" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.status" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.status" ] ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "ExplanationOfBenefit.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.type" ]; fhir:ElementDefinition.short [ fhir:value "Type or discipline" ]; fhir:ElementDefinition.definition [ fhir:value "The category of claim, e.g, oral, pharmacy, vision, institutional, professional." ]; fhir:ElementDefinition.comment [ fhir:value "Affects which fields and value sets are used." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ClaimType" ] ]; fhir:ElementDefinition.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.description [ fhir:value "The type or discipline-style of the claim." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-type" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.code" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "ExplanationOfBenefit.subType" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.subType" ]; fhir:ElementDefinition.short [ fhir:value "Finer grained claim type information" ]; fhir:ElementDefinition.definition [ fhir:value "A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the CMS Bill Type." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ClaimSubType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "A more granulat claim typecode." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-subtype" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "ExplanationOfBenefit.use" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.use" ]; fhir:ElementDefinition.short [ fhir:value "claim | preauthorization | predetermination" ]; fhir:ElementDefinition.definition [ fhir:value "A claim, a list of completed goods and services; a preauthorization, a list or proposed goods and services; or a predetermination, a set of goods and services being considered, for which insurer adjudication is sought." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Use" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "Complete, proposed, exploratory, other." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-use" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "ExplanationOfBenefit.patient" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.patient" ]; fhir:ElementDefinition.short [ fhir:value "The subject of the Products and Services" ]; fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.subject" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject[x]" ] ], [ fhir:index 2; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ]; fhir:ElementDefinition.short [ fhir:value "Period for charge submission" ]; fhir:ElementDefinition.definition [ fhir:value "The billable period for which charges are being submitted." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "ExplanationOfBenefit.created" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.created" ]; fhir:ElementDefinition.short [ fhir:value "Creation date" ]; fhir:ElementDefinition.definition [ fhir:value "The date when this resource was created." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.occurrence[x]" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.recorded" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "ExplanationOfBenefit.enterer" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.enterer" ]; fhir:ElementDefinition.short [ fhir:value "Author" ]; fhir:ElementDefinition.definition [ fhir:value "The person who created the explanation of benefit." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.performer.agent" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.author" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurer" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurer" ]; fhir:ElementDefinition.short [ fhir:value "Insurer responsible for the EOB" ]; fhir:ElementDefinition.definition [ fhir:value "The insurer which is responsible for the explanation of benefit." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.performer.agent" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.author" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "ExplanationOfBenefit.provider" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.provider" ]; fhir:ElementDefinition.short [ fhir:value "Responsible provider for the claim" ]; fhir:ElementDefinition.definition [ fhir:value "The provider which is responsible for the claim." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "ExplanationOfBenefit.referral" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.referral" ]; fhir:ElementDefinition.short [ fhir:value "Treatment Referral" ]; fhir:ElementDefinition.definition [ fhir:value "The referral resource which lists the date, practitioner, reason and other supporting information." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.cause" ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "ExplanationOfBenefit.facility" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.facility" ]; fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ]; fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Event.performer.location" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "ExplanationOfBenefit.claim" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claim" ]; fhir:ElementDefinition.short [ fhir:value "Claim reference" ]; fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Claim"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.why[x]" ] ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "ExplanationOfBenefit.claimResponse" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claimResponse" ]; fhir:ElementDefinition.short [ fhir:value "Claim response reference" ]; fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse"; fhir:index 0 ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "ExplanationOfBenefit.outcome" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.outcome" ]; fhir:ElementDefinition.short [ fhir:value "queued | complete | error | partial" ]; fhir:ElementDefinition.definition [ fhir:value "Processing outcome errror, partial or complete processing." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RemittanceOutcome" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "The result of the claim processing." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/remittance-outcome" ] ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "ExplanationOfBenefit.disposition" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.disposition" ]; fhir:ElementDefinition.short [ fhir:value "Disposition Message" ]; fhir:ElementDefinition.definition [ fhir:value "A description of the status of the adjudication." ]; fhir:ElementDefinition.comment [ fhir:value "Do we need a disposition code?" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "RelatedClaim" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related" ]; fhir:ElementDefinition.short [ fhir:value "Related Claims which may be revelant to processing this claim" ]; fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior claim versions or for related services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.claim" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.claim" ]; fhir:ElementDefinition.short [ fhir:value "Reference to the related claim" ]; fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior claim versions or for related services." ]; fhir:ElementDefinition.comment [ fhir:value "Do we need a relationship code?" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Claim"; fhir:index 0 ] ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.relationship" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.relationship" ]; fhir:ElementDefinition.short [ fhir:value "How the reference claim is related" ]; fhir:ElementDefinition.definition [ fhir:value "For example, prior or umbrella." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RelatedClaimRelationship" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Relationship of this claim to a related Claim." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/related-claim-relationship" ] ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.reference" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.reference" ]; fhir:ElementDefinition.short [ fhir:value "Related file or case reference" ]; fhir:ElementDefinition.definition [ fhir:value "An alternate organizational reference to the case or file to which this particular claim pertains - e.g. Property/Casualy insurer claim # or Workers Compensation case # ." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "ExplanationOfBenefit.prescription" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.prescription" ]; fhir:ElementDefinition.short [ fhir:value "Prescription authorizing services or products" ]; fhir:ElementDefinition.definition [ fhir:value "Prescription to support the dispensing of Pharmacy or Vision products." ]; fhir:ElementDefinition.requirements [ fhir:value "For type=Pharmacy and Vision only." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/VisionPrescription"; fhir:index 1 ] ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "ExplanationOfBenefit.originalPrescription" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.originalPrescription" ]; fhir:ElementDefinition.short [ fhir:value "Original prescription if superceded by fulfiller" ]; fhir:ElementDefinition.definition [ fhir:value "Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest"; fhir:index 0 ] ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Payee" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee" ]; fhir:ElementDefinition.short [ fhir:value "Party to be paid any benefits payable" ]; fhir:ElementDefinition.definition [ fhir:value "The party to be reimbursed for the services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.type" ]; fhir:ElementDefinition.short [ fhir:value "Type of party: Subscriber, Provider, other" ]; fhir:ElementDefinition.definition [ fhir:value "Type of Party to be reimbursed: Subscriber, provider, other." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PayeeType" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "A code for the party to be reimbursed." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payeetype" ] ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.resource" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.resource" ]; fhir:ElementDefinition.short [ fhir:value "organization | patient | practitioner | relatedperson" ]; fhir:ElementDefinition.definition [ fhir:value "organization | patient | practitioner | relatedperson." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PayeeResourceType" ] ]; fhir:ElementDefinition.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.description [ fhir:value "The type of payee Resource." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/resource-type-link" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "v2" ]; fhir:ElementDefinition.map [ fhir:value "64" ] ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.party" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.party" ]; fhir:ElementDefinition.short [ fhir:value "Party to receive the payable" ]; fhir:ElementDefinition.definition [ fhir:value "Party to be reimbursed: Subscriber, provider, other." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient"; fhir:index 3 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson"; fhir:index 4 ] ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "SupportingInformation" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information" ]; fhir:ElementDefinition.short [ fhir:value "Exceptions, special considerations, the condition, situation, prior or concurrent issues" ]; fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required." ]; fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of the information element which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "To provide a reference link." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.category" ]; fhir:ElementDefinition.short [ fhir:value "General class of information" ]; fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "InformationCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The valuset used for additional information category codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-informationcategory" ] ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.code" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.code" ]; fhir:ElementDefinition.short [ fhir:value "Type of information" ]; fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought which may influence the adjudication." ]; fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "InformationCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The valuset used for additional information codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-exception" ] ] ], [ fhir:index 32; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.timing[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.timing[x]" ]; fhir:ElementDefinition.short [ fhir:value "When it occurred" ]; fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ] ], [ fhir:index 33; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.value[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.value[x]" ]; fhir:ElementDefinition.short [ fhir:value "Additional Data or supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "string" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Quantity" ] ], [ fhir:index 3; fhir:ElementDefinition.code [ fhir:value "Attachment" ] ], [ fhir:index 4; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource"; fhir:index 0 ] ] ], [ fhir:index 34; fhir:Element.id [ fhir:value "ExplanationOfBenefit.information.reason" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.information.reason" ]; fhir:ElementDefinition.short [ fhir:value "Reason associated with the information" ]; fhir:ElementDefinition.definition [ fhir:value "For example, provides the reason for: the additional stay, or missing tooth or any other situation where a reason code is required in addition to the content." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "MissingReason" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Reason codes for the missing teeth." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason" ] ] ], [ fhir:index 35; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "CareTeam" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam" ]; fhir:ElementDefinition.short [ fhir:value "Care Team members" ]; fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the overall service as well as their role and whether responsible and qualifications." ]; fhir:ElementDefinition.requirements [ fhir:value "Role and Responsible might not be required when there is only a single provider listed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 36; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Number to convey order of careteam" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of careteam which serves to order and provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to maintain order of the careteam members." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 37; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.provider" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.provider" ]; fhir:ElementDefinition.short [ fhir:value "Member of the Care Team" ]; fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the overall service." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.actor" ] ] ], [ fhir:index 38; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ]; fhir:ElementDefinition.short [ fhir:value "Billing practitioner" ]; fhir:ElementDefinition.definition [ fhir:value "The practitioner who is billing and responsible for the claimed services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ] ], [ fhir:index 39; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.role" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ]; fhir:ElementDefinition.short [ fhir:value "Role on the team" ]; fhir:ElementDefinition.definition [ fhir:value "The lead, assisting or supervising practitioner and their discipline if a multidisiplinary team." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "CareTeamRole" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The role codes for the care team members." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-careteamrole" ] ] ], [ fhir:index 40; fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ]; fhir:ElementDefinition.short [ fhir:value "Type, classification or Specialization" ]; fhir:ElementDefinition.definition [ fhir:value "The qualification which is applicable for this service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProviderQualification" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Provider professional qualifications." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/provider-qualification" ] ] ], [ fhir:index 41; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Diagnosis" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis" ]; fhir:ElementDefinition.short [ fhir:value "List of Diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "Ordered list of patient diagnosis for which care is sought." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 42; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Number to convey order of diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of diagnosis which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to allow line items to reference the diagnoses." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 43; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The diagnosis." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to condition presented." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition"; fhir:index 0 ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ICD10" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "ICD10 Diagnostic codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10" ] ] ], [ fhir:index 44; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ]; fhir:ElementDefinition.short [ fhir:value "Timing or nature of the diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The type of the Diagnosis, for example: admitting, primary, secondary, discharge." ]; fhir:ElementDefinition.comment [ fhir:value "Diagnosis are presented in list order to their expected importance: primary, secondary, etc." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to the mandated diagnosis grouping system." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "DiagnosisType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The type of the diagnosis: admitting, principal, discharge." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosistype" ] ] ], [ fhir:index 45; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ]; fhir:ElementDefinition.short [ fhir:value "Present on admission" ]; fhir:ElementDefinition.definition [ fhir:value "Indication of whether the diagnosis was present on admission to a facility." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "DiagnosisOnAdmission" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Present on admission." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission" ] ] ], [ fhir:index 46; fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ]; fhir:ElementDefinition.short [ fhir:value "Package billing code" ]; fhir:ElementDefinition.definition [ fhir:value "The package billing code, for example DRG, based on the assigned grouping code system." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to the mandated grouping system." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "DiagnosisRelatedGroup" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The DRG codes associated with the diagnosis." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup" ] ] ], [ fhir:index 47; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Procedure" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure" ]; fhir:ElementDefinition.short [ fhir:value "Procedures performed" ]; fhir:ElementDefinition.definition [ fhir:value "Ordered list of patient procedures performed to support the adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 48; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Procedure sequence for reference" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of procedures which serves to order and provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to maintain order of the procudures." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 49; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.date" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.date" ]; fhir:ElementDefinition.short [ fhir:value "When the procedure was performed" ]; fhir:ElementDefinition.definition [ fhir:value "Date and optionally time the procedure was performed ." ]; fhir:ElementDefinition.comment [ fhir:value "SB DateTime??" ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "dateTime" ] ] ], [ fhir:index 50; fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's list of procedures performed" ]; fhir:ElementDefinition.definition [ fhir:value "The procedure code." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure"; fhir:index 0 ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ICD10_Procedures" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "ICD10 Procedure codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10-procedures" ] ] ], [ fhir:index 51; fhir:Element.id [ fhir:value "ExplanationOfBenefit.precedence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.precedence" ]; fhir:ElementDefinition.short [ fhir:value "Precedence (primary, secondary, etc.)" ]; fhir:ElementDefinition.definition [ fhir:value "Precedence (primary, secondary, etc.)." ]; fhir:ElementDefinition.requirements [ fhir:value "Health care programs and insurers are significant payors of health service costs." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 52; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Insurance" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance" ]; fhir:ElementDefinition.short [ fhir:value "Insurance or medical plan" ]; fhir:ElementDefinition.definition [ fhir:value "Financial instrument by which payment information for health care." ]; fhir:ElementDefinition.requirements [ fhir:value "Health care programs and insurers are significant payors of health service costs." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "v2" ]; fhir:ElementDefinition.map [ fhir:value "Coverage" ] ] ], [ fhir:index 53; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.focal" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.focal" ]; fhir:ElementDefinition.short [ fhir:value "Is the focal Coverage" ]; fhir:ElementDefinition.definition [ fhir:value "The instance number of the Coverage which is the focus for adjudication. The Coverage against which the claim was adjudicated." ]; fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage is being applied.." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ] ], [ fhir:index 54; fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.coverage" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.coverage" ]; fhir:ElementDefinition.short [ fhir:value "Insurance information" ]; fhir:ElementDefinition.definition [ fhir:value "Reference to the program or plan identification, underwriter or payor." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage"; fhir:index 0 ] ] ], [ fhir:index 55; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Accident" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident" ]; fhir:ElementDefinition.short [ fhir:value "Details of an accident" ]; fhir:ElementDefinition.definition [ fhir:value "An accident which resulted in the need for healthcare services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 56; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.date" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.date" ]; fhir:ElementDefinition.short [ fhir:value "When the accident occurred" ]; fhir:ElementDefinition.definition [ fhir:value "Date of an accident which these services are addressing." ]; fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on accidents." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ] ], [ fhir:index 57; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.type" ]; fhir:ElementDefinition.short [ fhir:value "The nature of the accident" ]; fhir:ElementDefinition.definition [ fhir:value "Type of accident: work, auto, etc." ]; fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on the type of accident." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "AccidentType" ] ]; fhir:ElementDefinition.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.description [ fhir:value "Type of accident: work place, auto, etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode" ] ] ], [ fhir:index 58; fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.location[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.location[x]" ]; fhir:ElementDefinition.short [ fhir:value "Accident Place" ]; fhir:ElementDefinition.definition [ fhir:value "Where the accident occurred." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Address" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ] ], [ fhir:index 59; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Item" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item" ]; fhir:ElementDefinition.short [ fhir:value "Goods and Services" ]; fhir:ElementDefinition.definition [ fhir:value "First-tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 60; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 61; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable careteam members" ]; fhir:ElementDefinition.definition [ fhir:value "Careteam applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 62; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable diagnoses" ]; fhir:ElementDefinition.definition [ fhir:value "Diagnosis applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 63; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable procedures" ]; fhir:ElementDefinition.definition [ fhir:value "Procedures applicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 64; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.informationSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.informationSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable exception and supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Exceptions, special conditions and supporting information pplicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 65; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.revenue" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ], [ fhir:index 66; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 67; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 68; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 69; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 70; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ]; fhir:ElementDefinition.short [ fhir:value "Date or dates of Service" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 71; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.location[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.location[x]" ]; fhir:ElementDefinition.short [ fhir:value "Place of service" ]; fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Address" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServicePlace" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Place where the service is rendered." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-place" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 72; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ] ], [ fhir:index 73; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 74; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ] ], [ fhir:index 75; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 76; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.udi" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device"; fhir:index 0 ] ] ], [ fhir:index 77; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.bodySite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.bodySite" ]; fhir:ElementDefinition.short [ fhir:value "Service Location" ]; fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "OralSites" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/tooth" ] ] ], [ fhir:index 78; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.subSite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.subSite" ]; fhir:ElementDefinition.short [ fhir:value "Service Sub-location" ]; fhir:ElementDefinition.definition [ fhir:value "A region or surface of the site, e.g. limb region or tooth surface(s)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Surface" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the tooth surface and surface combinations." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/surface" ] ] ], [ fhir:index 79; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.encounter" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.encounter" ]; fhir:ElementDefinition.short [ fhir:value "Encounters related to this billed item" ]; fhir:ElementDefinition.definition [ fhir:value "A billed item may include goods or services provided in multiple encounters." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter"; fhir:index 0 ] ] ], [ fhir:index 80; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 81; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Adjudication" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication details" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 82; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication category such as co-pay, eligible, benefit, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Code indicating: Co-Pay, deductable, elegible, benefit, tax, etc." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Adjudication" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ] ] ], [ fhir:index 83; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ]; fhir:ElementDefinition.short [ fhir:value "Explanation of Adjudication outcome" ]; fhir:ElementDefinition.definition [ fhir:value "Adjudication reason such as limit reached." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "AdjudicationReason" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Adjudication reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason" ] ] ], [ fhir:index 84; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ]; fhir:ElementDefinition.short [ fhir:value "Monetary amount" ]; fhir:ElementDefinition.definition [ fhir:value "Monitory amount associated with the code." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 85; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ]; fhir:ElementDefinition.short [ fhir:value "Non-monitory value" ]; fhir:ElementDefinition.definition [ fhir:value "A non-monetary value for example a percentage. Mutually exclusive to the amount element above." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ] ], [ fhir:index 86; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Detail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail" ]; fhir:ElementDefinition.short [ fhir:value "Additional items" ]; fhir:ElementDefinition.definition [ fhir:value "Second-tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 87; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 88; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ], [ fhir:index 89; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 90; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 91; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 92; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 93; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ] ], [ fhir:index 94; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 95; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ] ], [ fhir:index 96; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.net" ]; fhir:ElementDefinition.short [ fhir:value "Total additional item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 97; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.udi" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device"; fhir:index 0 ] ] ], [ fhir:index 98; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 99; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Detail level adjudication details" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ] ], [ fhir:index 100; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "SubDetail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ]; fhir:ElementDefinition.short [ fhir:value "Additional items" ]; fhir:ElementDefinition.definition [ fhir:value "Third-tier of goods and services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 101; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instance" ]; fhir:ElementDefinition.definition [ fhir:value "A service line number." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 102; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ]; fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ]; fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "RevenueCenter" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center" ] ] ], [ fhir:index 103; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service or product" ]; fhir:ElementDefinition.definition [ fhir:value "Health Care Service Type Codes to identify the classification of service or benefits." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 104; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 105; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 106; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 107; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ] ], [ fhir:index 108; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "The fee for an addittional service or product or charge." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 109; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ] ], [ fhir:index 110; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ]; fhir:ElementDefinition.short [ fhir:value "Net additional item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 111; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ]; fhir:ElementDefinition.short [ fhir:value "Unique Device Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "List of Unique Device Identifiers associated with this line item." ]; fhir:ElementDefinition.requirements [ fhir:value "The UDI code and issuer if applicable for the supplied product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device"; fhir:index 0 ] ] ], [ fhir:index 112; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 113; fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Language if different from the resource" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ] ], [ fhir:index 114; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "740;600" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "AddedItem" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem" ]; fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ]; fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for payor added services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 115; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ]; fhir:ElementDefinition.short [ fhir:value "Service instances" ]; fhir:ElementDefinition.definition [ fhir:value "List of input service items which this service line is intended to replace." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 116; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ]; fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ]; fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 117; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ]; fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ]; fhir:ElementDefinition.definition [ fhir:value "The sequence number of the addition within the line item submitted which contains the error. This value is omitted when the error is not related to an Addition." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 118; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.provider" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.provider" ]; fhir:ElementDefinition.short [ fhir:value "Authorized providers" ]; fhir:ElementDefinition.definition [ fhir:value "The providers who are authorized for the services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 119; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 120; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 121; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.programCode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.programCode" ]; fhir:ElementDefinition.short [ fhir:value "Program specific reason for item inclusion" ]; fhir:ElementDefinition.definition [ fhir:value "For programs which require reason codes for the inclusion or covering of this billed item under the program or sub-program." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProgramCode" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Program specific reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code" ] ] ], [ fhir:index 122; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ]; fhir:ElementDefinition.short [ fhir:value "Date or dates of Service" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 123; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ]; fhir:ElementDefinition.short [ fhir:value "Place of service" ]; fhir:ElementDefinition.definition [ fhir:value "Where the service was provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Address" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServicePlace" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Place where the service is rendered." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-place" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 124; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ] ], [ fhir:index 125; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 126; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ] ], [ fhir:index 127; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 128; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ]; fhir:ElementDefinition.short [ fhir:value "Service Location" ]; fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "OralSites" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/tooth" ] ] ], [ fhir:index 129; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subSite" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subSite" ]; fhir:ElementDefinition.short [ fhir:value "Service Sub-location" ]; fhir:ElementDefinition.definition [ fhir:value "A region or surface of the site, e.g. limb region or tooth surface(s)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Surface" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The code for the tooth surface and surface combinations." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/surface" ] ] ], [ fhir:index 130; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 131; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ] ], [ fhir:index 132; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "740;600" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "AddedItemDetail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail" ]; fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ]; fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for payor added services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 133; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 134; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 135; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ] ], [ fhir:index 136; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 137; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ] ], [ fhir:index 138; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 139; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 140; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ] ], [ fhir:index 141; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "740;600" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "AddedItemDetailSubDetail" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ]; fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ]; fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for payor added services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 142; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.billcode" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI). If a grouping item then use a group code to indicate the type of thing being grouped eg. 'glasses' or 'compound'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 143; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.requirements [ fhir:value "May impact on adjudication." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 144; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of Products or Services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ] ], [ fhir:index 145; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 146; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ]; fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ]; fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "decimal" ] ] ], [ fhir:index 147; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ]; fhir:ElementDefinition.short [ fhir:value "Total item cost" ]; fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied." ]; fhir:ElementDefinition.requirements [ fhir:value "If a fee is present the associated product/service code must be present." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 148; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ]; fhir:ElementDefinition.short [ fhir:value "List of note numbers which apply" ]; fhir:ElementDefinition.definition [ fhir:value "A list of note references to the notes provided below." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 149; fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ]; fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ]; fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.contentReference [ fhir:value "#ExplanationOfBenefit.item.adjudication" ] ], [ fhir:index 150; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "'360;620" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Total" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ]; fhir:ElementDefinition.definition [ fhir:value "Totals for amounts submitted, co-pays, benefits payable etc." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 151; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ]; fhir:ElementDefinition.short [ fhir:value "Adjudication category such as submitted, co-pay, eligible, benefit, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Code indicating: Submitted, Co-Pay, deductible, eligible, benefit, tax, etc." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Adjudication" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The adjudication codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/adjudication" ] ] ], [ fhir:index 152; fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.amount" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ]; fhir:ElementDefinition.short [ fhir:value "Monetary amount" ]; fhir:ElementDefinition.definition [ fhir:value "Monitory amount associated with the code." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 153; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.value [ fhir:value "360;650" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Payment" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment" ]; fhir:ElementDefinition.short [ fhir:value "Payment Details" ]; fhir:ElementDefinition.definition [ fhir:value "Payment details for the claim if the claim has been paid." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 154; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.type" ]; fhir:ElementDefinition.short [ fhir:value "Partial or Complete" ]; fhir:ElementDefinition.definition [ fhir:value "Whether this represents partial or complete payment of the claim." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PaymentType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The type (partial, complete) of the payment." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-paymenttype" ] ] ], [ fhir:index 155; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustment" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustment" ]; fhir:ElementDefinition.short [ fhir:value "Payment adjustment for non-Claim issues" ]; fhir:ElementDefinition.definition [ fhir:value "Adjustment to the payment of this transaction which is not related to adjudication of this transaction." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 156; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ]; fhir:ElementDefinition.short [ fhir:value "Explanation for the non-claim adjustment" ]; fhir:ElementDefinition.definition [ fhir:value "Reason for the payment adjustment." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "PaymentAdjustmentReason" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Payment Adjustment reason codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/payment-adjustment-reason" ] ] ], [ fhir:index 157; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.date" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.date" ]; fhir:ElementDefinition.short [ fhir:value "Expected date of Payment" ]; fhir:ElementDefinition.definition [ fhir:value "Estimated payment date." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ] ], [ fhir:index 158; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.amount" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.amount" ]; fhir:ElementDefinition.short [ fhir:value "Payable amount after adjustment" ]; fhir:ElementDefinition.definition [ fhir:value "Payable less any payment adjustment." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 159; fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.identifier" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Identifier of the payment instrument" ]; fhir:ElementDefinition.definition [ fhir:value "Payment identifier." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ] ], [ fhir:index 160; fhir:Element.id [ fhir:value "ExplanationOfBenefit.form" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.form" ]; fhir:ElementDefinition.short [ fhir:value "Printed Form Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "The form to be used for printing the content." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Forms" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The forms codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/forms" ] ] ], [ fhir:index 161; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Note" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote" ]; fhir:ElementDefinition.short [ fhir:value "Processing notes" ]; fhir:ElementDefinition.definition [ fhir:value "Note text." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 162; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.number" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.number" ]; fhir:ElementDefinition.short [ fhir:value "Sequence number for this note" ]; fhir:ElementDefinition.definition [ fhir:value "An integer associated with each note which may be referred to from each service line item." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 163; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.type" ]; fhir:ElementDefinition.short [ fhir:value "display | print | printoper" ]; fhir:ElementDefinition.definition [ fhir:value "The note purpose: Print/Display." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "NoteType" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "The presentation types of notes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/note-type" ] ] ], [ fhir:index 164; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.text" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.text" ]; fhir:ElementDefinition.short [ fhir:value "Note explanitory text" ]; fhir:ElementDefinition.definition [ fhir:value "The note text." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ] ], [ fhir:index 165; fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.language" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.language" ]; fhir:ElementDefinition.short [ fhir:value "Language if different from the resource" ]; fhir:ElementDefinition.definition [ fhir:value "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ]; fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Language" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.description [ fhir:value "A human language." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ] ] ], [ fhir:index 166; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "BenefitBalance" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance" ]; fhir:ElementDefinition.short [ fhir:value "Balance by Benefit Category" ]; fhir:ElementDefinition.definition [ fhir:value "Balance by Benefit Category." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 167; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of services covered" ]; fhir:ElementDefinition.definition [ fhir:value "Dental, Vision, Medical, Pharmacy, Rehab etc." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 168; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ]; fhir:ElementDefinition.short [ fhir:value "Excluded from the plan" ]; fhir:ElementDefinition.definition [ fhir:value "True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ] ], [ fhir:index 169; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ]; fhir:ElementDefinition.short [ fhir:value "Short name for the benefit" ]; fhir:ElementDefinition.definition [ fhir:value "A short name or tag for the benefit, for example MED01, or DENT2." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ] ], [ fhir:index 170; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ]; fhir:ElementDefinition.short [ fhir:value "Description of the benefit or services covered" ]; fhir:ElementDefinition.definition [ fhir:value "A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ] ], [ fhir:index 171; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ]; fhir:ElementDefinition.short [ fhir:value "In or out of network" ]; fhir:ElementDefinition.definition [ fhir:value "Network designation." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitNetwork" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Code to classify in or out of network services." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-network" ] ] ], [ fhir:index 172; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ]; fhir:ElementDefinition.short [ fhir:value "Individual or family" ]; fhir:ElementDefinition.definition [ fhir:value "Unit designation: individual or family." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitUnit" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Unit covered/serviced - individual or family." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-unit" ] ] ], [ fhir:index 173; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ]; fhir:ElementDefinition.short [ fhir:value "Annual or lifetime" ]; fhir:ElementDefinition.definition [ fhir:value "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitTerm" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Coverage unit - annual, lifetime." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-term" ] ] ], [ fhir:index 174; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Benefit" ] ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ]; fhir:ElementDefinition.short [ fhir:value "Benefit Summary" ]; fhir:ElementDefinition.definition [ fhir:value "Benefits Used to date." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 175; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ]; fhir:ElementDefinition.short [ fhir:value "Deductable, visits, benefit amount" ]; fhir:ElementDefinition.definition [ fhir:value "Deductable, visits, benefit amount." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitType" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Deductable, visits, co-pay, etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/benefit-type" ] ] ], [ fhir:index 176; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ]; fhir:ElementDefinition.short [ fhir:value "Benefits allowed" ]; fhir:ElementDefinition.definition [ fhir:value "Benefits allowed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "unsignedInt" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "string" ] ], [ fhir:index 2; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 177; fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ]; fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ]; fhir:ElementDefinition.short [ fhir:value "Benefits used" ]; fhir:ElementDefinition.definition [ fhir:value "Benefits used." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "unsignedInt" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ] ] . # -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.