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
13.10.9 Resource ExplanationOfBenefit - Mappings
Mappings for the explanationofbenefit resource (see Mappings to Other Standards for further information & status).
ExplanationOfBenefit
financial.other
identifier
FiveWs.identifier
status
FiveWs.status
type
FiveWs.class
subType
FiveWs.class
use
FiveWs.class
patient
FiveWs.subject[x]
billablePeriod
FiveWs.done[x]
created
FiveWs.recorded
enterer
FiveWs.author
insurer
FiveWs.author
provider
FiveWs.source
referral
FiveWs.cause
facility
FiveWs.where[x]
claim
FiveWs.why[x]
provider
FiveWs.actor
serviced[x]
FiveWs.done[x]
location[x]
FiveWs.where[x]
provider
FiveWs.source
serviced[x]
FiveWs.done[x]
location[x]
FiveWs.where[x]
ExplanationOfBenefit
Event
identifier
Event.identifier
status
Event.status
type
Event.code
patient
Event.subject
created
Event.occurrence[x]
enterer
Event.performer.agent
insurer
Event.performer.agent
facility
Event.performer.location
ExplanationOfBenefit
identifier
traceNumber
status
type
subType
use
patient
billablePeriod
created
enterer
insurer
provider
priority
Request.priority
fundsReserveRequested
fundsReserve
related
claim
relationship
reference
prescription
originalPrescription
event
type
when[x]
payee
type
party
referral
encounter
facility
claim
claimResponse
outcome
decision
disposition
preAuthRef
preAuthRefPeriod
diagnosisRelatedGroup
careTeam
sequence
provider
responsible
role
specialty
supportingInfo
sequence
category
code
timing[x]
value[x]
reason
diagnosis
sequence
diagnosis[x]
type
onAdmission
procedure
sequence
type
date
procedure[x]
udi
precedence
insurance
Coverage
focal
coverage
preAuthRef
accident
date
type
location[x]
patientPaid
item
sequence
careTeamSequence
diagnosisSequence
procedureSequence
informationSequence
traceNumber
revenue
category
productOrService
productOrServiceEnd
request
modifier
programCode
serviced[x]
location[x]
patientPaid
quantity
unitPrice
factor
tax
net
udi
bodySite
site
subSite
encounter
noteNumber
reviewOutcome
decision
reason
preAuthRef
preAuthPeriod
adjudication
category
reason
amount
quantity
detail
sequence
traceNumber
revenue
category
productOrService
productOrServiceEnd
modifier
programCode
patientPaid
quantity
unitPrice
factor
tax
net
udi
noteNumber
reviewOutcome
adjudication
subDetail
sequence
traceNumber
revenue
category
productOrService
productOrServiceEnd
modifier
programCode
patientPaid
quantity
unitPrice
factor
tax
net
udi
noteNumber
reviewOutcome
adjudication
addItem
itemSequence
detailSequence
subDetailSequence
traceNumber
provider
revenue
productOrService
productOrServiceEnd
request
modifier
programCode
serviced[x]
location[x]
patientPaid
quantity
unitPrice
factor
tax
net
bodySite
site
subSite
noteNumber
reviewOutcome
adjudication
detail
traceNumber
revenue
productOrService
productOrServiceEnd
modifier
patientPaid
quantity
unitPrice
factor
tax
net
noteNumber
reviewOutcome
adjudication
subDetail
traceNumber
revenue
productOrService
productOrServiceEnd
modifier
patientPaid
quantity
unitPrice
factor
tax
net
noteNumber
reviewOutcome
adjudication
adjudication
total
category
amount
payment
type
adjustment
adjustmentReason
date
amount
identifier
formCode
form
processNote
number
type
text
language
benefitPeriod
benefitBalance
category
excluded
name
description
network
unit
term
financial
type
allowed[x]
used[x]