Consumer-Directed Payer Data Exchange
- Release 0.1.0

This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Mappings for the StructureDefinition-CARIN-BB-ExplanationOfBenefit-Outpatient-Facility Profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

CARINBBExplanationOfBenefitOutpatientFacility
ExplanationOfBenefitEvent
   identifierEvent.identifier
   statusEvent.status
   typeEvent.code
   patientEvent.subject
   createdEvent.occurrence[x]
   entererEvent.performer.agent
   insurerEvent.performer.agent
   facilityEvent.performer.location

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

CARINBBExplanationOfBenefitOutpatientFacility
ExplanationOfBenefit
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   billablePeriodFiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   insurerFiveWs.author
   providerFiveWs.source
   referralFiveWs.cause
   facilityFiveWs.where[x]
   claimFiveWs.why[x]
   careTeam
      providerFiveWs.actor
   item
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]
   addItem
      providerFiveWs.source
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

CARINBBExplanationOfBenefitOutpatientFacility
ExplanationOfBenefit
   priorityRequest.priority
   insuranceCoverage
   insurance (primaryinsurance)Coverage
   insurance (secondaryinsurance)Coverage

Mappings for RIM Mapping (http://hl7.org/v3)

CARINBBExplanationOfBenefitOutpatientFacility
ExplanationOfBenefitEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (placeOfServiceCode)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (patientDischargeStatusCode)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (sourceInpatientAdmissionTypeCode)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (sourceInpatientAdmissionCode)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (frequencyCode)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (serviceClassificationCode)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (facilityTypeCode)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (claimReceivedDate)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (referringProviderNetworkStatus)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (billingProviderNetworkStatus)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
   insurance
      idn/a
      extensionn/a
      modifierExtensionN/A
   insurance (primaryinsurance)
      idn/a
      extensionn/a
      modifierExtensionN/A
   insurance (secondaryinsurance)
      idn/a
      extensionn/a
      modifierExtensionN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      extensionn/a
      modifierExtensionN/A
      adjudication
         idn/a
         extensionn/a
         modifierExtensionN/A
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A
   addItem
      idn/a
      extensionn/a
      modifierExtensionN/A
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A
   total
      idn/a
      extensionn/a
      modifierExtensionN/A
   payment
      idn/a
      extensionn/a
      modifierExtensionN/A
   processNote
      idn/a
      extensionn/a
      modifierExtensionN/A
   benefitBalance
      idn/a
      extensionn/a
      modifierExtensionN/A
      financial
         idn/a
         extensionn/a
         modifierExtensionN/A