R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

13.10.31 Resource ExplanationOfBenefit - Maturity Dependency View

Financial Management icon Work GroupMaturity Level: 2 Trial Use Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Dependency Graph for ExplanationOfBenefit FMM level 2

NameCard.TypeDependency Analysis
.. ExplanationOfBenefit DomainResource
... identifier 0..*Identifier
... traceNumber 0..*Identifier
... status 1..1code
... type 1..1CodeableConcept
... subType 0..1CodeableConcept
... use 1..1code
... patient 1..1Reference(Patient)
... billablePeriod 0..1Period
... created 1..1dateTime
... enterer 0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
... insurer 0..1Reference(Organization)
... provider 0..1Reference(Practitioner | PractitionerRole | Organization)
... priority 0..1CodeableConcept
... fundsReserveRequested 0..1CodeableConcept
... fundsReserve 0..1CodeableConcept
... related 0..*BackboneElement
.... claim 0..1Reference(Claim)
.... relationship 0..1CodeableConcept
.... reference 0..1Identifier
... prescription 0..1Reference(MedicationRequest | VisionPrescription)
... originalPrescription 0..1Reference(MedicationRequest)
... event 0..*BackboneElement
.... type 1..1CodeableConcept
.... when[x] 1..1
..... whenDateTimedateTime
..... whenPeriodPeriod
... payee 0..1BackboneElement
.... type 0..1CodeableConcept
.... party 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)
... referral 0..1Reference(ServiceRequest)
... encounter 0..*Reference(Encounter)
... facility 0..1Reference(Location | Organization)
... claim 0..1Reference(Claim)
... claimResponse 0..1Reference(ClaimResponse)
... outcome 1..1code
... decision 0..1CodeableConcept
... disposition 0..1string
... preAuthRef 0..*string
... preAuthRefPeriod 0..*Period
... diagnosisRelatedGroup 0..1CodeableConcept
... careTeam 0..*BackboneElement
.... sequence 1..1positiveInt
.... provider 1..1Reference(Practitioner | PractitionerRole | Organization)
.... responsible 0..1boolean
.... role 0..1CodeableConcept
.... specialty 0..1CodeableConcept
... supportingInfo 0..*BackboneElement
.... sequence 1..1positiveInt
.... category 1..1CodeableConcept
.... code 0..1CodeableConcept
.... timing[x] 0..1
..... timingDatedate
..... timingPeriodPeriod
.... value[x] 0..1
..... valueBooleanboolean
..... valueStringstring
..... valueQuantityQuantity
..... valueAttachmentAttachment
..... valueReferenceReference(AnyType Warning: (Any = FMM1-Trial Use vs. Element = FMM2-Trial Use)
..... valueIdentifierIdentifier
.... reason 0..1Coding
... diagnosis 0..*BackboneElement
.... sequence 1..1positiveInt
.... diagnosis[x] 1..1
..... diagnosisCodeableConceptCodeableConcept
..... diagnosisReferenceReference(Condition
.... type 0..*CodeableConcept
.... onAdmission 0..1CodeableConcept
... procedure 0..*BackboneElement
.... sequence 1..1positiveInt
.... type 0..*CodeableConcept
.... date 0..1dateTime
.... procedure[x] 1..1
..... procedureCodeableConceptCodeableConcept
..... procedureReferenceReference(Procedure
.... udi 0..*Reference(Device)
... precedence 0..1positiveInt
... insurance 0..*BackboneElement
.... focal 1..1boolean
.... coverage 1..1Reference(Coverage)
.... preAuthRef 0..*string
... accident 0..1BackboneElement
.... date 0..1date
.... type 0..1CodeableConceptBinding Error: Unable to resolve vs 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode' to check dependencies
.... location[x] 0..1
..... locationAddressAddress
..... locationReferenceReference(Location
... patientPaid 0..1Money
... item 0..*BackboneElement
.... sequence 1..1positiveInt
.... careTeamSequence 0..*positiveInt
.... diagnosisSequence 0..*positiveInt
.... procedureSequence 0..*positiveInt
.... informationSequence 0..*positiveInt
.... traceNumber 0..*Identifier
.... revenue 0..1CodeableConcept
.... category 0..1CodeableConcept
.... productOrService 0..1CodeableConcept
.... productOrServiceEnd 0..1CodeableConcept
.... request 0..*Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription)Type Warning: (DeviceRequest = FMM1-Trial Use vs. Element = FMM2-Trial Use)
Type Warning: (SupplyRequest = FMM1-Trial Use vs. Element = FMM2-Trial Use)
.... modifier 0..*CodeableConcept
.... programCode 0..*CodeableConcept
.... serviced[x] 0..1
..... servicedDatedate
..... servicedPeriodPeriod
.... location[x] 0..1
..... locationCodeableConceptCodeableConcept
..... locationAddressAddress
..... locationReferenceReference(Location
.... patientPaid 0..1Money
.... quantity 0..1SimpleQuantity
.... unitPrice 0..1Money
.... factor 0..1decimal
.... tax 0..1Money
.... net 0..1Money
.... udi 0..*Reference(Device)
.... bodySite 0..*BackboneElement
..... site 1..*CodeableReferenceType Error: (CodeableReference = FMM5-Draft vs. Element = FMM2-Trial Use)
..... subSite 0..*CodeableConcept
.... encounter 0..*Reference(Encounter)
.... noteNumber 0..*positiveInt
.... reviewOutcome 0..1BackboneElement
..... decision 0..1CodeableConcept
..... reason 0..*CodeableConcept
..... preAuthRef 0..1string
..... preAuthPeriod 0..1Period
.... adjudication 0..*BackboneElement
..... category 1..1CodeableConcept
..... reason 0..1CodeableConcept
..... amount 0..1Money
..... quantity 0..1Quantity
.... detail 0..*BackboneElement
..... sequence 1..1positiveInt
..... traceNumber 0..*Identifier
..... revenue 0..1CodeableConcept
..... category 0..1CodeableConcept
..... productOrService 0..1CodeableConcept
..... productOrServiceEnd 0..1CodeableConcept
..... modifier 0..*CodeableConcept
..... programCode 0..*CodeableConcept
..... patientPaid 0..1Money
..... quantity 0..1SimpleQuantity
..... unitPrice 0..1Money
..... factor 0..1decimal
..... tax 0..1Money
..... net 0..1Money
..... udi 0..*Reference(Device)
..... noteNumber 0..*positiveInt
..... reviewOutcome 0..1see reviewOutcome
..... adjudication 0..*see adjudication
..... subDetail 0..*BackboneElement
...... sequence 1..1positiveInt
...... traceNumber 0..*Identifier
...... revenue 0..1CodeableConcept
...... category 0..1CodeableConcept
...... productOrService 0..1CodeableConcept
...... productOrServiceEnd 0..1CodeableConcept
...... modifier 0..*CodeableConcept
...... programCode 0..*CodeableConcept
...... patientPaid 0..1Money
...... quantity 0..1SimpleQuantity
...... unitPrice 0..1Money
...... factor 0..1decimal
...... tax 0..1Money
...... net 0..1Money
...... udi 0..*Reference(Device)
...... noteNumber 0..*positiveInt
...... reviewOutcome 0..1see reviewOutcome
...... adjudication 0..*see adjudication
... addItem 0..*BackboneElement
.... itemSequence 0..*positiveInt
.... detailSequence 0..*positiveInt
.... subDetailSequence 0..*positiveInt
.... traceNumber 0..*Identifier
.... provider 0..*Reference(Practitioner | PractitionerRole | Organization)
.... revenue 0..1CodeableConcept
.... productOrService 0..1CodeableConcept
.... productOrServiceEnd 0..1CodeableConcept
.... request 0..*Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription)Type Warning: (DeviceRequest = FMM1-Trial Use vs. Element = FMM2-Trial Use)
Type Warning: (SupplyRequest = FMM1-Trial Use vs. Element = FMM2-Trial Use)
.... modifier 0..*CodeableConcept
.... programCode 0..*CodeableConcept
.... serviced[x] 0..1
..... servicedDatedate
..... servicedPeriodPeriod
.... location[x] 0..1
..... locationCodeableConceptCodeableConcept
..... locationAddressAddress
..... locationReferenceReference(Location
.... patientPaid 0..1Money
.... quantity 0..1SimpleQuantity
.... unitPrice 0..1Money
.... factor 0..1decimal
.... tax 0..1Money
.... net 0..1Money
.... bodySite 0..*BackboneElement
..... site 1..*CodeableReferenceType Error: (CodeableReference = FMM5-Draft vs. Element = FMM2-Trial Use)
..... subSite 0..*CodeableConcept
.... noteNumber 0..*positiveInt
.... reviewOutcome 0..1see reviewOutcome
.... adjudication 0..*see adjudication
.... detail 0..*BackboneElement
..... traceNumber 0..*Identifier
..... revenue 0..1CodeableConcept
..... productOrService 0..1CodeableConcept
..... productOrServiceEnd 0..1CodeableConcept
..... modifier 0..*CodeableConcept
..... patientPaid 0..1Money
..... quantity 0..1SimpleQuantity
..... unitPrice 0..1Money
..... factor 0..1decimal
..... tax 0..1Money
..... net 0..1Money
..... noteNumber 0..*positiveInt
..... reviewOutcome 0..1see reviewOutcome
..... adjudication 0..*see adjudication
..... subDetail 0..*BackboneElement
...... traceNumber 0..*Identifier
...... revenue 0..1CodeableConcept
...... productOrService 0..1CodeableConcept
...... productOrServiceEnd 0..1CodeableConcept
...... modifier 0..*CodeableConcept
...... patientPaid 0..1Money
...... quantity 0..1SimpleQuantity
...... unitPrice 0..1Money
...... factor 0..1decimal
...... tax 0..1Money
...... net 0..1Money
...... noteNumber 0..*positiveInt
...... reviewOutcome 0..1see reviewOutcome
...... adjudication 0..*see adjudication
... adjudication 0..*see adjudication
... total 0..*BackboneElement
.... category 1..1CodeableConcept
.... amount 1..1Money
... payment 0..1BackboneElement
.... type 0..1CodeableConcept
.... adjustment 0..1Money
.... adjustmentReason 0..1CodeableConcept
.... date 0..1date
.... amount 0..1Money
.... identifier 0..1Identifier
... formCode 0..1CodeableConcept
... form 0..1Attachment
... processNote 0..*BackboneElement
.... number 0..1positiveInt
.... type 0..1CodeableConcept
.... text 0..1string
.... language 0..1CodeableConcept
... benefitPeriod 0..1Period
... benefitBalance 0..*BackboneElement
.... category 1..1CodeableConcept
.... excluded 0..1boolean
.... name 0..1string
.... description 0..1string
.... network 0..1CodeableConcept
.... unit 0..1CodeableConcept
.... term 0..1CodeableConcept
.... financial 0..*BackboneElement
..... type 1..1CodeableConcept
..... allowed[x] 0..1
...... allowedUnsignedIntunsignedInt
...... allowedStringstring
...... allowedMoneyMoney
..... used[x] 0..1
...... usedUnsignedIntunsignedInt
...... usedMoneyMoney