R6 Ballot (2nd Draft)

This page is part of the FHIR Specification v6.0.0-ballot2: Release 6 Ballot (2nd Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

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..1 code
... type 1..1 CodeableConcept
... subType 0..1 CodeableConcept
... use 1..1 code
... patient 1..1 Reference(Patient)
... billablePeriod 0..1 Period
... created 1..1 dateTime
... enterer 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
... insurer 0..1 Reference(Organization)
... provider 0..1 Reference(Practitioner | PractitionerRole | Organization)
... priority 0..1 CodeableConcept
... fundsReserveRequested 0..1 CodeableConcept
... fundsReserve 0..1 CodeableConcept
... related 0..* BackboneElement
.... claim 0..1 Reference(Claim)
.... relationship 0..1 CodeableConcept
.... reference 0..1 Identifier
... prescription 0..1 Reference(MedicationRequest | VisionPrescription)
... originalPrescription 0..1 Reference(MedicationRequest)
... event 0..* BackboneElement
.... type 1..1 CodeableConcept
.... when[x] 1..1
..... whenDateTime dateTime
..... whenPeriod Period
... payee 0..1 BackboneElement
.... type 0..1 CodeableConcept
.... party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)
... referral 0..1 Reference(ServiceRequest)
... encounter 0..* Reference(Encounter)
... facility 0..1 Reference(Location | Organization)
... claim 0..1 Reference(Claim)
... claimResponse 0..1 Reference(ClaimResponse)
... outcome 1..1 code
... decision 0..1 CodeableConcept
... disposition 0..1 string
... preAuthRef 0..* string
... preAuthRefPeriod 0..* Period
... diagnosisRelatedGroup 0..1 CodeableConcept
... careTeam 0..* BackboneElement
.... sequence 1..1 positiveInt
.... provider 1..1 Reference(Practitioner | PractitionerRole | Organization)
.... responsible 0..1 boolean
.... role 0..1 CodeableConcept
.... specialty 0..1 CodeableConcept
... supportingInfo 0..* BackboneElement
.... sequence 1..1 positiveInt
.... category 1..1 CodeableConcept
.... code 0..1 CodeableConcept
.... timing[x] 0..1
..... timingDate date
..... timingPeriod Period
.... value[x] 0..1
..... valueBoolean boolean
..... valueString string
..... valueQuantity Quantity
..... valueAttachment Attachment
..... valueReference Reference(Any Type Warning: (Any = FMM1-Trial Use vs. Element = FMM2-Trial Use)
..... valueIdentifier Identifier
.... reason 0..1 Coding
... diagnosis 0..* BackboneElement
.... sequence 1..1 positiveInt
.... diagnosis[x] 1..1
..... diagnosisCodeableConcept CodeableConcept
..... diagnosisReference Reference(Condition
.... type 0..* CodeableConcept
.... onAdmission 0..1 CodeableConcept
... procedure 0..* BackboneElement
.... sequence 1..1 positiveInt
.... type 0..* CodeableConcept
.... date 0..1 dateTime
.... procedure[x] 1..1
..... procedureCodeableConcept CodeableConcept
..... procedureReference Reference(Procedure
.... udi 0..* Reference(Device)
... precedence 0..1 positiveInt
... insurance 0..* BackboneElement
.... focal 1..1 boolean
.... coverage 1..1 Reference(Coverage)
.... preAuthRef 0..* string
... accident 0..1 BackboneElement
.... date 0..1 date
.... type 0..1 CodeableConcept
.... location[x] 0..1
..... locationAddress Address
..... locationReference Reference(Location
... patientPaid 0..1 Money
... item 0..* BackboneElement
.... sequence 1..1 positiveInt
.... careTeamSequence 0..* positiveInt
.... diagnosisSequence 0..* positiveInt
.... procedureSequence 0..* positiveInt
.... informationSequence 0..* positiveInt
.... traceNumber 0..* Identifier
.... revenue 0..1 CodeableConcept
.... category 0..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... 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
..... servicedDate date
..... servicedPeriod Period
.... location[x] 0..1
..... locationCodeableConcept CodeableConcept
..... locationAddress Address
..... locationReference Reference(Location
.... patientPaid 0..1 Money
.... quantity 0..1 SimpleQuantity
.... unitPrice 0..1 Money
.... factor 0..1 decimal
.... tax 0..1 Money
.... net 0..1 Money
.... udi 0..* Reference(Device)
.... bodySite 0..* BackboneElement
..... site 1..* CodeableReference Type Error: (CodeableReference = FMM5-Draft vs. Element = FMM2-Trial Use)
..... subSite 0..* CodeableConcept
.... encounter 0..* Reference(Encounter)
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 BackboneElement
..... decision 0..1 CodeableConcept
..... reason 0..* CodeableConcept
..... preAuthRef 0..1 string
..... preAuthPeriod 0..1 Period
.... adjudication 0..* BackboneElement
..... category 1..1 CodeableConcept
..... reason 0..1 CodeableConcept
..... amount 0..1 Money
..... quantity 0..1 Quantity
.... detail 0..* BackboneElement
..... sequence 1..1 positiveInt
..... traceNumber 0..* Identifier
..... revenue 0..1 CodeableConcept
..... category 0..1 CodeableConcept
..... productOrService 0..1 CodeableConcept
..... productOrServiceEnd 0..1 CodeableConcept
..... modifier 0..* CodeableConcept
..... programCode 0..* CodeableConcept
..... patientPaid 0..1 Money
..... quantity 0..1 SimpleQuantity
..... unitPrice 0..1 Money
..... factor 0..1 decimal
..... tax 0..1 Money
..... net 0..1 Money
..... udi 0..* Reference(Device)
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... sequence 1..1 positiveInt
...... traceNumber 0..* Identifier
...... revenue 0..1 CodeableConcept
...... category 0..1 CodeableConcept
...... productOrService 0..1 CodeableConcept
...... productOrServiceEnd 0..1 CodeableConcept
...... modifier 0..* CodeableConcept
...... programCode 0..* CodeableConcept
...... patientPaid 0..1 Money
...... quantity 0..1 SimpleQuantity
...... unitPrice 0..1 Money
...... factor 0..1 decimal
...... tax 0..1 Money
...... net 0..1 Money
...... udi 0..* Reference(Device)
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see 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..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... 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
..... servicedDate date
..... servicedPeriod Period
.... location[x] 0..1
..... locationCodeableConcept CodeableConcept
..... locationAddress Address
..... locationReference Reference(Location
.... patientPaid 0..1 Money
.... quantity 0..1 SimpleQuantity
.... unitPrice 0..1 Money
.... factor 0..1 decimal
.... tax 0..1 Money
.... net 0..1 Money
.... bodySite 0..* BackboneElement
..... site 1..* CodeableReference Type Error: (CodeableReference = FMM5-Draft vs. Element = FMM2-Trial Use)
..... subSite 0..* CodeableConcept
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 see reviewOutcome
.... adjudication 0..* see adjudication
.... detail 0..* BackboneElement
..... traceNumber 0..* Identifier
..... revenue 0..1 CodeableConcept
..... productOrService 0..1 CodeableConcept
..... productOrServiceEnd 0..1 CodeableConcept
..... modifier 0..* CodeableConcept
..... patientPaid 0..1 Money
..... quantity 0..1 SimpleQuantity
..... unitPrice 0..1 Money
..... factor 0..1 decimal
..... tax 0..1 Money
..... net 0..1 Money
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... traceNumber 0..* Identifier
...... revenue 0..1 CodeableConcept
...... productOrService 0..1 CodeableConcept
...... productOrServiceEnd 0..1 CodeableConcept
...... modifier 0..* CodeableConcept
...... patientPaid 0..1 Money
...... quantity 0..1 SimpleQuantity
...... unitPrice 0..1 Money
...... factor 0..1 decimal
...... tax 0..1 Money
...... net 0..1 Money
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see reviewOutcome
...... adjudication 0..* see adjudication
... adjudication 0..* see adjudication
... total 0..* BackboneElement
.... category 1..1 CodeableConcept
.... amount 1..1 Money
... payment 0..1 BackboneElement
.... type 0..1 CodeableConcept
.... adjustment 0..1 Money
.... adjustmentReason 0..1 CodeableConcept
.... date 0..1 date
.... amount 0..1 Money
.... identifier 0..1 Identifier
... formCode 0..1 CodeableConcept
... form 0..1 Attachment
... processNote 0..* BackboneElement
.... number 0..1 positiveInt
.... type 0..1 CodeableConcept
.... text 0..1 string
.... language 0..1 CodeableConcept
... benefitPeriod 0..1 Period
... benefitBalance 0..* BackboneElement
.... category 1..1 CodeableConcept
.... excluded 0..1 boolean
.... name 0..1 string
.... description 0..1 string
.... network 0..1 CodeableConcept
.... unit 0..1 CodeableConcept
.... term 0..1 CodeableConcept
.... financial 0..* BackboneElement
..... type 1..1 CodeableConcept
..... allowed[x] 0..1
...... allowedUnsignedInt unsignedInt
...... allowedString string
...... allowedMoney Money
..... used[x] 0..1
...... usedUnsignedInt unsignedInt
...... usedMoney Money