This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

• Content
• Detailed Definitions
• Mappings
• XML
• JSON

Mappings for the StructureDefinition-CARIN-BB-ExplanationOfBenefit-Professional-NonClinician Profile.

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

CARINBBExplanationOfBenefitProfessionalNonClinician
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

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

CARINBBExplanationOfBenefitProfessionalNonClinician
ExplanationOfBenefit
identifier	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
subType	FiveWs.class
use	FiveWs.class
patient	FiveWs.subject[x], FiveWs.subject
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]
careTeam
provider	FiveWs.actor
item
serviced[x]	FiveWs.done[x]
location[x]	FiveWs.where[x]
addItem
provider	FiveWs.source
serviced[x]	FiveWs.done[x]
location[x]	FiveWs.where[x]

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

CARINBBExplanationOfBenefitProfessionalNonClinician
ExplanationOfBenefit
priority	Request.priority
insurance	Coverage
insurance (primaryinsurance)	Coverage
insurance (secondaryinsurance)	Coverage

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

CARINBBExplanationOfBenefitProfessionalNonClinician
ExplanationOfBenefit	Entity. Role, or Act
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
related
id	n/a
extension	n/a
modifierExtension	N/A
payee
id	n/a
extension	n/a
modifierExtension	N/A
careTeam
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (billingnetworkcontractingstatus)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (referringnetworkcontractingstatus)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (performingnetworkcontractingstatus)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (sitenetworkcontractingstatus)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (clmrecvddate)
id	n/a
extension	n/a
modifierExtension	N/A
diagnosis
id	n/a
extension	n/a
modifierExtension	N/A
procedure
id	n/a
extension	n/a
modifierExtension	N/A
insurance
id	n/a
extension	n/a
modifierExtension	N/A
insurance (primaryinsurance)
id	n/a
extension	n/a
modifierExtension	N/A
insurance (secondaryinsurance)
id	n/a
extension	n/a
modifierExtension	N/A
accident
id	n/a
extension	n/a
modifierExtension	N/A
item
id	n/a
extension	n/a
modifierExtension	N/A
adjudication
id	n/a
extension	n/a
modifierExtension	N/A
adjudication (adjudicationamounttype)
id	n/a
extension	n/a
modifierExtension	N/A
adjudication (denialreason)
id	n/a
extension	n/a
modifierExtension	N/A
detail
id	n/a
extension	n/a
modifierExtension	N/A
subDetail
id	n/a
extension	n/a
modifierExtension	N/A
addItem
id	n/a
extension	n/a
modifierExtension	N/A
detail
id	n/a
extension	n/a
modifierExtension	N/A
subDetail
id	n/a
extension	n/a
modifierExtension	N/A
adjudication (inoutnetwork)
id	n/a
extension	n/a
modifierExtension	N/A
total
id	n/a
extension	n/a
modifierExtension	N/A
payment
id	n/a
extension	n/a
modifierExtension	N/A
processNote
id	n/a
extension	n/a
modifierExtension	N/A
benefitBalance
id	n/a
extension	n/a
modifierExtension	N/A
financial
id	n/a
extension	n/a
modifierExtension	N/A