CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.0.0 - STU1
CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
1.0.0 - STU1
This page is part of the CARIN Blue Button Implementation Guide (v1.0.0: STU 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 
TTL representation of the C4BB-ExplanationOfBenefit-Inpatient-Institutional resource profile.
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:StructureDefinition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "C4BB-ExplanationOfBenefit-Inpatient-Institutional"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit\">ExplanationOfBenefit</a><a name=\"ExplanationOfBenefit\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants (EOB-institutional-item-or-header-adjudication)\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-C4BB-ExplanationOfBenefit.html\">C4BBExplanationOfBenefit</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Explanation of Benefit resource</span><br/><span style=\"font-weight:bold\">EOB-institutional-item-or-header-adjudication: </span>Institutional EOB: Should have adjudication at the item or header level, but not both</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.type\">type</a><a name=\"ExplanationOfBenefit.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Category or discipline</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"https://terminology.hl7.org/1.0.0//CodeSystem-claim-type.html\">http://terminology.hl7.org/CodeSystem/claim-type</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">institutional</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.billablePeriod\">billablePeriod</a><a name=\"ExplanationOfBenefit.billablePeriod\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Relevant time frame for the claim</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.billablePeriod.start\">start</a><a name=\"ExplanationOfBenefit.billablePeriod.start\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Starting time with inclusive boundary</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.billablePeriod.end\">end</a><a name=\"ExplanationOfBenefit.billablePeriod.end\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">End time with inclusive boundary, if not ongoing</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.created\">created</a><a name=\"ExplanationOfBenefit.created\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Response creation date</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.provider\">provider</a><a name=\"ExplanationOfBenefit.provider\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-C4BB-Organization.html\">C4BB Organization</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Party responsible for the claim</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.careTeam\">careTeam</a><a name=\"ExplanationOfBenefit.careTeam\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: black; null\" title=\"This element has or is affected by some invariants (EOB-inst-careTeam-practitioner, EOB-inst-careTeam-organization)\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Care Team members</span><br/><span style=\"font-weight:bold\">EOB-inst-careTeam-practitioner: </span>Institutional EOB: Careteam roles refer to a practitioner<br/><span style=\"font-weight:bold\">EOB-inst-careTeam-organization: </span>Institutional EOB: Careteam roles refer to an organization</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.careTeam.role\">role</a><a name=\"ExplanationOfBenefit.careTeam.role\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Function within the team</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBClaimInstitutionalCareTeamRole.html\">C4BB Claim Institutional Care Team Role</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo\">supportingInfo</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Supporting information</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:category</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus\" title=\"Slice billingnetworkcontractingstatus\">supportingInfo:billingnetworkcontractingstatus</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">billingnetworkcontractingstatus</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.code\">code</a><a name=\"ExplanationOfBenefit.supportingInfo.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBPayerProviderContractingStatus.html\">C4BB Payer Provider Contracting Status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:admissionperiod\" title=\"Slice admissionperiod\">supportingInfo:admissionperiod</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:admissionperiod.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">admissionperiod</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1352.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:admissionperiod.timing[x]\">timing[x]</a><a name=\"ExplanationOfBenefit.supportingInfo.timing_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">When it occurred</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by type:$this</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:admissionperiod.timingPeriod\">timingPeriod</a><a name=\"ExplanationOfBenefit.supportingInfo.timingPeriod\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">When it occurred</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:clmrecvddate\" title=\"Slice clmrecvddate\">supportingInfo:clmrecvddate</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:clmrecvddate.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">clmrecvddate</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:clmrecvddate.timing[x]\">timing[x]</a><a name=\"ExplanationOfBenefit.supportingInfo.timing_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">When it occurred</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:typeofbill\" title=\"Slice typeofbill\">supportingInfo:typeofbill</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:typeofbill.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">typeofbill</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:typeofbill.code\">code</a><a name=\"ExplanationOfBenefit.supportingInfo.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AHANUBCTypeOfBill.html\">NUBC Type of Bill Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:pointoforigin\" title=\"Slice pointoforigin\">supportingInfo:pointoforigin</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:pointoforigin.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">pointoforigin</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:pointoforigin.code\">code</a><a name=\"ExplanationOfBenefit.supportingInfo.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AHANUBCPointOfOriginForAdmissionOrVisit.html\">NUBC Point Of Origin</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:admtype\" title=\"Slice admtype\">supportingInfo:admtype</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:admtype.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">admtype</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:admtype.code\">code</a><a name=\"ExplanationOfBenefit.supportingInfo.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AHANUBCPriorityTypeOfAdmissionOrVisit.html\">NUBC Priority (Type) of Admission or Visit</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:discharge-status\" title=\"Slice discharge-status\">supportingInfo:discharge-status</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:discharge-status.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">discharge-status</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:discharge-status.code\">code</a><a name=\"ExplanationOfBenefit.supportingInfo.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AHANUBCPatientDischargeStatus.html\">NUBC Patient Discharge Status Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:drg\" title=\"Slice drg\">supportingInfo:drg</a><a name=\"ExplanationOfBenefit.supportingInfo\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Supporting information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1251.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:drg.category\">category</a><a name=\"ExplanationOfBenefit.supportingInfo.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of the supplied information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBSupportingInfoType.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">drg</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.supportingInfo:drg.code\">code</a><a name=\"ExplanationOfBenefit.supportingInfo.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-CMSMS3MAPAPRDRG.html\">MS-DRGs - AP-DRGs - APR-DRGs</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.diagnosis\">diagnosis</a><a name=\"ExplanationOfBenefit.diagnosis\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Pertinent diagnosis information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.diagnosis.sequence\">sequence</a><a name=\"ExplanationOfBenefit.diagnosis.sequence\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Diagnosis instance identifier</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.diagnosis.diagnosis[x]\">diagnosis[x]</a><a name=\"ExplanationOfBenefit.diagnosis.diagnosis_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Nature of illness or problem</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-CDCICD910CMDiagnosisCodes.html\">Diagnosis Codes - International Classification of Diseases, Clinical Modification (ICD-9-CM, ICD-10-CM)</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.diagnosis.type\">type</a><a name=\"ExplanationOfBenefit.diagnosis.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Timing or nature of the diagnosis</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBClaimInpatientInstitutionalDiagnosisType.html\">C4BB Claim Inpatient Institutional Diagnosis Type</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.diagnosis.onAdmission\">onAdmission</a><a name=\"ExplanationOfBenefit.diagnosis.onAdmission\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Present on admission</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AHANUBCPresentOnAdmission.html\">NUBC Present On Admission Indicator Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.procedure\">procedure</a><a name=\"ExplanationOfBenefit.procedure\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Clinical procedures performed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.procedure.sequence\">sequence</a><a name=\"ExplanationOfBenefit.procedure.sequence\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Procedure instance identifier</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.procedure.type\">type</a><a name=\"ExplanationOfBenefit.procedure.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Category of Procedure</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBClaimProcedureType.html\">C4BB Claim Procedure Type</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.procedure.date\">date</a><a name=\"ExplanationOfBenefit.procedure.date\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">When the procedure was performed</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.procedure.procedure[x]\">procedure[x]</a><a name=\"ExplanationOfBenefit.procedure.procedure_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Specific clinical procedure</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-CMSICD910PCSProcedureCodes.html\">Procedure Codes - International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) - ICD-10 Procedure Coding System</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.insurance\">insurance</a><a name=\"ExplanationOfBenefit.insurance\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span>..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Patient insurance information</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item\">item</a><a name=\"ExplanationOfBenefit.item\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.revenue\">revenue</a><a name=\"ExplanationOfBenefit.item.revenue\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Revenue or cost center code</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AHANUBCRevenueCodes.html\">NUBC Revenue Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.productOrService\">productOrService</a><a name=\"ExplanationOfBenefit.item.productOrService\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Billing, service, product, or drug code</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AMACPTCMSHCPCSProcedureCodes.html\">Current Procedural Terminology (CPT) - Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes - Procedure Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.modifier\">modifier</a><a name=\"ExplanationOfBenefit.item.modifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Product or service billing modifiers</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-AMACPTCMSHCPCSModifiers.html\">Current Procedural Terminology (CPT) - Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes - Procedure Modifier Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.quantity\">quantity</a><a name=\"ExplanationOfBenefit.item.quantity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#SimpleQuantity\" title=\"Quantity\">SimpleQuantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Count of products or services</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication\">adjudication</a><a name=\"ExplanationOfBenefit.item.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null; font-style: italic\" title=\"This element has or is affected by some invariants (adjudication-has-amount-type-slice)\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Adjudication details</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by pattern:category</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">adjudication-has-amount-type-slice: </span><span style=\"font-style: italic\">If Adjudication is present, it must have at least one adjudicationamounttype slice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1033.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> adjudication:All Slices<a name=\"ExplanationOfBenefit.item.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10320.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication.category\">category</a><a name=\"ExplanationOfBenefit.item.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBAdjudicationCategoryDiscriminator.html\">C4BB Adjudication Category Discriminator</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:adjudicationamounttype\" title=\"Slice adjudicationamounttype\">adjudication:adjudicationamounttype</a><a name=\"ExplanationOfBenefit.item.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Adjudication details</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:adjudicationamounttype.category\">category</a><a name=\"ExplanationOfBenefit.item.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBAdjudication.html\">C4BB Adjudication</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:adjudicationamounttype.amount\">amount</a><a name=\"ExplanationOfBenefit.item.adjudication.amount\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Monetary amount</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:denialreason\" title=\"Slice denialreason\">adjudication:denialreason</a><a name=\"ExplanationOfBenefit.item.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Adjudication details</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:denialreason.category\">category</a><a name=\"ExplanationOfBenefit.item.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBAdjudicationDiscriminator.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1035000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">denialreason</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:denialreason.reason\">reason</a><a name=\"ExplanationOfBenefit.item.adjudication.reason\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Explanation of adjudication outcome</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes.html\">X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:allowedunits\" title=\"Slice allowedunits\">adjudication:allowedunits</a><a name=\"ExplanationOfBenefit.item.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Adjudication details</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10251.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:allowedunits.category\">category</a><a name=\"ExplanationOfBenefit.item.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck102501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBAdjudicationDiscriminator.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1025000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">allowedunits</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.item.adjudication:allowedunits.value\">value</a><a name=\"ExplanationOfBenefit.item.adjudication.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Non-monitary value</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication\">adjudication</a><a name=\"ExplanationOfBenefit.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span><span style=\"padding-left: 3px; padding-right: 3px; color: black; null; font-style: italic\" title=\"This element has or is affected by some invariants (adjudication-has-amount-type-slice)\">I</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Header-level adjudication</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by pattern:category</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">adjudication-has-amount-type-slice: </span><span style=\"font-style: italic\">If Adjudication is present, it must have at least one adjudicationamounttype slice</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck133.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> adjudication:All Slices<a name=\"ExplanationOfBenefit.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1320.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication.category\">category</a><a name=\"ExplanationOfBenefit.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBAdjudicationCategoryDiscriminator.html\">C4BB Adjudication Category Discriminator</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication:adjudicationamounttype\" title=\"Slice adjudicationamounttype\">adjudication:adjudicationamounttype</a><a name=\"ExplanationOfBenefit.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Header-level adjudication</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication:adjudicationamounttype.category\">category</a><a name=\"ExplanationOfBenefit.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBAdjudication.html\">C4BB Adjudication</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication:adjudicationamounttype.amount\">amount</a><a name=\"ExplanationOfBenefit.adjudication.amount\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Monetary amount</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication:denialreason\" title=\"Slice denialreason\">adjudication:denialreason</a><a name=\"ExplanationOfBenefit.adjudication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Header-level adjudication</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1251.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication:denialreason.category\">category</a><a name=\"ExplanationOfBenefit.adjudication.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"CodeSystem-C4BBAdjudicationDiscriminator.html\">http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">denialreason</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.adjudication:denialreason.reason\">reason</a><a name=\"ExplanationOfBenefit.adjudication.reason\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Explanation of adjudication outcome</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes.html\">X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total\">total</a><a name=\"ExplanationOfBenefit.total\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">1</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/profiling.html#slicing\">(Slice Definition)</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Adjudication totals</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:category</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck133.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> total:All Slices<a name=\"ExplanationOfBenefit.total\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1330.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total.category\">category</a><a name=\"ExplanationOfBenefit.total.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBTotalCategoryDiscriminator.html\">C4BB Total Category Discriminator</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1320.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total.amount\">amount</a><a name=\"ExplanationOfBenefit.total.amount\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Financial total for the category</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total:adjudicationamounttype\" title=\"Slice adjudicationamounttype\">total:adjudicationamounttype</a><a name=\"ExplanationOfBenefit.total\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Adjudication totals</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total:adjudicationamounttype.category\">category</a><a name=\"ExplanationOfBenefit.total.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBAdjudication.html\">C4BB Adjudication</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total:adjudicationamounttype.amount\">amount</a><a name=\"ExplanationOfBenefit.total.amount\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Financial total for the category</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total:inoutnetwork\" title=\"Slice inoutnetwork\">total:inoutnetwork</a><a name=\"ExplanationOfBenefit.total\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Adjudication totals</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.total:inoutnetwork.category\">category</a><a name=\"ExplanationOfBenefit.total.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of adjudication information</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-C4BBPayerBenefitPaymentStatus.html\">C4BB Payer Benefit Payment Status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.payment\">payment</a><a name=\"ExplanationOfBenefit.payment\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.payment.date\">date</a><a name=\"ExplanationOfBenefit.payment.date\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Expected date of payment</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.processNote\">processNote</a><a name=\"ExplanationOfBenefit.processNote\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional-definitions.html#ExplanationOfBenefit.processNote.text\">text</a><a name=\"ExplanationOfBenefit.processNote.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Note explanatory text</span></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ];
fhir:Extension.valueString [ fhir:value "Financial.General" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category" ];
fhir:Extension.valueCode [ fhir:value "patient" ]
];
fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional"];
fhir:StructureDefinition.version [ fhir:value "1.0.0"];
fhir:StructureDefinition.name [ fhir:value "C4BBExplanationOfBenefitInpatientInstitutional"];
fhir:StructureDefinition.title [ fhir:value "C4BB ExplanationOfBenefit Inpatient Institutional"];
fhir:StructureDefinition.status [ fhir:value "active"];
fhir:StructureDefinition.date [ fhir:value "2020-11-23T17:26:16+00:00"^^xsd:dateTime];
fhir:StructureDefinition.publisher [ fhir:value "HL7 Financial Management Working Group"];
fhir:StructureDefinition.contact [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "HL7 Financial Management Working Group" ];
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "url" ];
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm/index.cfm" ] ], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "fm@lists.HL7.org" ] ]
];
fhir:StructureDefinition.description [ fhir:value "The profile is used for Explanation of Benefits (EOBs) based on claims submitted by clinics, hospitals, skilled nursing facilities and other institutions for inpatient services, which may include the use of equipment and supplies, laboratory services, radiology services and other charges. Inpatient claims are submitted for services rendered at an institution as part of an overnight stay. \nThe claims data is based on the institutional claim format UB-04, submission standards adopted by the Department of Health and Human \nServices."];
fhir:StructureDefinition.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "US" ] ]
];
fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"];
fhir:StructureDefinition.mapping [
fhir:index 0;
fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ];
fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Pattern" ]
], [
fhir:index 1;
fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ];
fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ]
], [
fhir:index 2;
fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ];
fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ]
], [
fhir:index 3;
fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ];
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ];
fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
];
fhir:StructureDefinition.kind [ fhir:value "resource"];
fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
fhir:StructureDefinition.type [ fhir:value "ExplanationOfBenefit"];
fhir:StructureDefinition.baseDefinition [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit>
];
fhir:StructureDefinition.derivation [ fhir:value "constraint"];
fhir:StructureDefinition.snapshot [
fhir:StructureDefinition.snapshot.element [
fhir:index 0;
fhir:Element.id [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of Benefit resource" ];
fhir:ElementDefinition.definition [ fhir:value "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided." ];
fhir:ElementDefinition.alias [
fhir:value "EOB";
fhir:index 0 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 2;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 3;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ];
fhir:Extension.valueMarkdown [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ];
fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 5;
fhir:ElementDefinition.constraint.key [ fhir:value "EOB-institutional-item-or-header-adjudication" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Institutional EOB: Should have adjudication at the item or header level, but not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(adjudication.exists() != item.adjudication.exists())" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event" ] ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.id" ];
fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ];
fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ];
fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 2;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta" ];
fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ];
fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Meta" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 3;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 4;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 5;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.versionId" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.versionId" ];
fhir:ElementDefinition.short [ fhir:value "Version specific identifier" ];
fhir:ElementDefinition.definition [ fhir:value "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." ];
fhir:ElementDefinition.comment [ fhir:value "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Meta.versionId" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "id" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.lastUpdated" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.lastUpdated" ];
fhir:ElementDefinition.short [ fhir:value "When the resource version last changed" ];
fhir:ElementDefinition.definition [ fhir:value "When the resource last changed - e.g. when the version changed." ];
fhir:ElementDefinition.comment [ fhir:value "Defines the date the Resource was created or updated, whichever comes last (163). Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Meta.lastUpdated" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "instant" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 7;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.source" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.source" ];
fhir:ElementDefinition.short [ fhir:value "Identifies where the resource comes from" ];
fhir:ElementDefinition.definition [ fhir:value "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." ];
fhir:ElementDefinition.comment [ fhir:value "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Meta.source" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "uri" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 8;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.profile" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.profile" ];
fhir:ElementDefinition.short [ fhir:value "Profiles this resource claims to conform to" ];
fhir:ElementDefinition.definition [ fhir:value "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." ];
fhir:ElementDefinition.comment [ fhir:value "CPCDS data element (190)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Meta.profile" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "canonical" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/StructureDefinition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/StructureDefinition> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 9;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.security" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.security" ];
fhir:ElementDefinition.short [ fhir:value "Security Labels applied to this resource" ];
fhir:ElementDefinition.definition [ fhir:value "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ];
fhir:ElementDefinition.comment [ fhir:value "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Meta.security" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "SecurityLabels" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.description [ fhir:value "Security Labels from the Healthcare Privacy and Security Classification System." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/security-labels";
fhir:link <http://hl7.org/fhir/ValueSet/security-labels> ] ] ], [
fhir:index 10;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.meta.tag" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.meta.tag" ];
fhir:ElementDefinition.short [ fhir:value "Tags applied to this resource" ];
fhir:ElementDefinition.definition [ fhir:value "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." ];
fhir:ElementDefinition.comment [ fhir:value "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Meta.tag" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Tags" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/common-tags";
fhir:link <http://hl7.org/fhir/ValueSet/common-tags> ] ] ], [
fhir:index 11;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.implicitRules" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.implicitRules" ];
fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ];
fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ];
fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "uri" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 12;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.language" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.language" ];
fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ];
fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ];
fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/ValueSet/all-languages";
fhir:link <http://hl7.org/fhir/ValueSet/all-languages> ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Language" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/languages";
fhir:link <http://hl7.org/fhir/ValueSet/languages> ] ] ], [
fhir:index 13;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.text" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.text" ];
fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ];
fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ];
fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ];
fhir:ElementDefinition.alias [
fhir:value "narrative";
fhir:index 0 ], [
fhir:value "html";
fhir:index 1 ], [
fhir:value "xhtml";
fhir:index 2 ], [
fhir:value "display";
fhir:index 3 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Narrative" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ] ] ], [
fhir:index 14;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.contained" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.contained" ];
fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ];
fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ];
fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ];
fhir:ElementDefinition.alias [
fhir:value "inline resources";
fhir:index 0 ], [
fhir:value "anonymous resources";
fhir:index 1 ], [
fhir:value "contained resources";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Resource" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 15;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 16;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 17;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.short [ fhir:value "Business Identifier for the resource" ];
fhir:ElementDefinition.definition [ fhir:value "A unique identifier assigned to this explanation of benefit." ];
fhir:ElementDefinition.comment [ fhir:value "Identifier assigned by a payer for a claim received from a provider or subscriber. It is not the same identifier as that assigned by a provider. (35)" ];
fhir:ElementDefinition.requirements [ fhir:value "Allows EOBs to be distinguished and referenced." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.identifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ] ] ], [
fhir:index 18;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 19;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 20;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.use" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.use" ];
fhir:ElementDefinition.short [ fhir:value "usual | official | temp | secondary | old (If known)" ];
fhir:ElementDefinition.definition [ fhir:value "The purpose of this identifier." ];
fhir:ElementDefinition.comment [ fhir:value "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.use" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "IdentifierUse" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "Identifies the purpose for this identifier, if known ." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/identifier-use|4.0.1> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Role.code or implied by context" ] ] ], [
fhir:index 21;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.type" ];
fhir:ElementDefinition.short [ fhir:value "Description of identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ];
fhir:ElementDefinition.comment [ fhir:value "Indicates that the claim identifier is that assigned by a payer for a claim received from a provider or subscriber. (183)" ];
fhir:ElementDefinition.requirements [ fhir:value "Allows users to make use of identifiers when the identifier system is not known." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimIdentifierType> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.5" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Role.code or implied by context" ] ] ], [
fhir:index 22;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.system" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.system" ];
fhir:ElementDefinition.short [ fhir:value "The namespace for the identifier value" ];
fhir:ElementDefinition.definition [ fhir:value "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ];
fhir:ElementDefinition.comment [ fhir:value "Identifier.system is always case sensitive." ];
fhir:ElementDefinition.requirements [ fhir:value "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.system" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "uri" ] ];
fhir:ElementDefinition.example [
fhir:index 0;
fhir:ElementDefinition.example.label [ fhir:value "General" ];
fhir:ElementDefinition.example.valueUri [ fhir:value "http://www.acme.com/identifiers/patient" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.4 / EI-2-4" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "II.root or Role.id.root" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./IdentifierType" ] ] ], [
fhir:index 23;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.value" ];
fhir:ElementDefinition.short [ fhir:value "The value that is unique" ];
fhir:ElementDefinition.definition [ fhir:value "The portion of the identifier typically relevant to the user and which is unique within the context of the system." ];
fhir:ElementDefinition.comment [ fhir:value "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.example [
fhir:index 0;
fhir:ElementDefinition.example.label [ fhir:value "General" ];
fhir:ElementDefinition.example.valueString [ fhir:value "123456" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.1 / EI.1" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./Value" ] ] ], [
fhir:index 24;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.period" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.period" ];
fhir:ElementDefinition.short [ fhir:value "Time period when id is/was valid for use" ];
fhir:ElementDefinition.definition [ fhir:value "Time period during which identifier is/was valid for use." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.period" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.7 + CX.8" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Role.effectiveTime or implied by context" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./StartDate and ./EndDate" ] ] ], [
fhir:index 25;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.identifier.assigner" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.identifier.assigner" ];
fhir:ElementDefinition.short [ fhir:value "Organization that issued id (may be just text)" ];
fhir:ElementDefinition.definition [ fhir:value "Organization that issued/manages the identifier." ];
fhir:ElementDefinition.comment [ fhir:value "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Identifier.assigner" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "CX.4 / (CX.4,CX.9,CX.10)" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./IdentifierIssuingAuthority" ] ] ], [
fhir:index 26;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.status" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.status" ];
fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ];
fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ];
fhir:ElementDefinition.comment [ fhir:value "Claim processing status code (140). Expected values are active or cancelled. To comply with the CMS rule, draft EOBs are not required" ];
fhir:ElementDefinition.requirements [ fhir:value "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.status" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ExplanationOfBenefitStatus" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "A code specifying the state of the resource instance." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.status" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ] ] ], [
fhir:index 27;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.short [ fhir:value "Category or discipline" ];
fhir:ElementDefinition.definition [ fhir:value "The category of claim, e.g. oral, pharmacy, vision, institutional, professional." ];
fhir:ElementDefinition.comment [ fhir:value "Specifies the type of claim. (e.g., inpatient insitutional, outpatient institutional, physician, etc.) (16). Defines the Claims profiles. Values from Claim Type Codes are required; a data absent reason is not allowed" ];
fhir:ElementDefinition.requirements [ fhir:value "Claim type determine the general sets of business rules applied for information requirements and adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ];
fhir:Coding.code [ fhir:value "institutional" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-type";
fhir:link <http://hl7.org/fhir/ValueSet/claim-type> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.code" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ] ] ], [
fhir:index 28;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.short [ fhir:value "More granular claim type" ];
fhir:ElementDefinition.definition [ fhir:value "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Some jurisdictions need a finer grained claim type for routing and adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.subType" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ClaimSubType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "A more granular claim typecode." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-subtype";
fhir:link <http://hl7.org/fhir/ValueSet/claim-subtype> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ] ] ], [
fhir:index 29;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.use" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.use" ];
fhir:ElementDefinition.short [ fhir:value "claim | preauthorization | predetermination" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future." ];
fhir:ElementDefinition.comment [ fhir:value "Expected value is claim. The CMS rule applies to adjudicated claims; it does not require preauthorizations or predeterminations" ];
fhir:ElementDefinition.requirements [ fhir:value "This element is required to understand the nature of the request for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.use" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.patternCode [ fhir:value "claim" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Use" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "Complete, proposed, exploratory, other." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-use|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/claim-use|4.0.1> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ] ] ], [
fhir:index 30;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.patient" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.patient" ];
fhir:ElementDefinition.short [ fhir:value "The recipient of the products and services" ];
fhir:ElementDefinition.definition [ fhir:value "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought." ];
fhir:ElementDefinition.comment [ fhir:value "Identifier for a member assigned by the Payer. If members receive ID cards, that is the identifier that should be provided. (1). The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction. Additional required path:EOB.insurance.coverage(Coverage).beneficiary(Patient).identifier" ];
fhir:ElementDefinition.requirements [ fhir:value "The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.patient" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.subject" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ] ], [
fhir:index 2;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ] ] ], [
fhir:index 31;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.short [ fhir:value "Relevant time frame for the claim" ];
fhir:ElementDefinition.definition [ fhir:value "The period for which charges are being submitted." ];
fhir:ElementDefinition.comment [ fhir:value "Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified." ];
fhir:ElementDefinition.requirements [ fhir:value "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ] ] ], [
fhir:index 32;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 33;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod.extension" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 34;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod.start" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod.start" ];
fhir:ElementDefinition.short [ fhir:value "Starting time with inclusive boundary" ];
fhir:ElementDefinition.definition [ fhir:value "The start of the period. The boundary is inclusive." ];
fhir:ElementDefinition.comment [ fhir:value "The first day on the billing statement covering services rendered to the beneficiary (i.e. 'Statement Covers From Date’). (177)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Period.start" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ];
fhir:ElementDefinition.condition [
fhir:value "per-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "DR.1" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./low" ] ] ], [
fhir:index 35;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod.end" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod.end" ];
fhir:ElementDefinition.short [ fhir:value "End time with inclusive boundary, if not ongoing" ];
fhir:ElementDefinition.definition [ fhir:value "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time." ];
fhir:ElementDefinition.comment [ fhir:value "The last day on the billing statement covering services rendered to the beneficiary (i.e. 'Statement Covers Thru Date’). (178)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Period.end" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ];
fhir:ElementDefinition.meaningWhenMissing [ fhir:value "If the end of the period is missing, it means that the period is ongoing" ];
fhir:ElementDefinition.condition [
fhir:value "per-1";
fhir:index 0 ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "DR.2" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "./high" ] ] ], [
fhir:index 36;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.short [ fhir:value "Response creation date" ];
fhir:ElementDefinition.definition [ fhir:value "The date this resource was created." ];
fhir:ElementDefinition.comment [ fhir:value "Date the claim was adjudicated (179)" ];
fhir:ElementDefinition.requirements [ fhir:value "Need to record a timestamp for use by both the recipient and the issuer." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.recorded" ] ] ], [
fhir:index 37;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.enterer" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.enterer" ];
fhir:ElementDefinition.short [ fhir:value "Author of the claim" ];
fhir:ElementDefinition.definition [ fhir:value "Individual who created the claim, predetermination or preauthorization." ];
fhir:ElementDefinition.requirements [ fhir:value "Some jurisdictions require the contact information for personnel completing claims." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.enterer" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.agent" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ] ] ], [
fhir:index 38;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurer" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurer" ];
fhir:ElementDefinition.short [ fhir:value "Party responsible for reimbursement" ];
fhir:ElementDefinition.definition [ fhir:value "The party responsible for authorization, adjudication and reimbursement." ];
fhir:ElementDefinition.comment [ fhir:value "Code of the payer responsible for the claim (2, 5). Same as insurance.coverage.organization. Party responsible for reimbursing the provider" ];
fhir:ElementDefinition.requirements [ fhir:value "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurer" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.agent" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ] ] ], [
fhir:index 39;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.short [ fhir:value "Party responsible for the claim" ];
fhir:ElementDefinition.definition [ fhir:value "The provider which is responsible for the claim, predetermination or preauthorization." ];
fhir:ElementDefinition.comment [ fhir:value "The identifier assigned to the Billing Provider. (94)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.source" ] ] ], [
fhir:index 40;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.short [ fhir:value "Desired processing urgency" ];
fhir:ElementDefinition.definition [ fhir:value "The provider-required urgency of processing the request. Typical values include: stat, routine deferred." ];
fhir:ElementDefinition.comment [ fhir:value "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request." ];
fhir:ElementDefinition.requirements [ fhir:value "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.priority" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/process-priority";
fhir:link <http://hl7.org/fhir/ValueSet/process-priority> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Request.priority" ] ] ], [
fhir:index 41;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.fundsReserveRequested" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.fundsReserveRequested" ];
fhir:ElementDefinition.short [ fhir:value "For whom to reserve funds" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate whether and for whom funds are to be reserved for future claims." ];
fhir:ElementDefinition.comment [ fhir:value "This field is only used for preauthorizations." ];
fhir:ElementDefinition.requirements [ fhir:value "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested." ];
fhir:ElementDefinition.alias [
fhir:value "Fund pre-allocation";
fhir:index 0 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.fundsReserveRequested" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "FundsReserve" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "For whom funds are to be reserved: (Patient, Provider, None)." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/fundsreserve";
fhir:link <http://hl7.org/fhir/ValueSet/fundsreserve> ] ] ], [
fhir:index 42;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.fundsReserve" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.fundsReserve" ];
fhir:ElementDefinition.short [ fhir:value "Funds reserved status" ];
fhir:ElementDefinition.definition [ fhir:value "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom." ];
fhir:ElementDefinition.comment [ fhir:value "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.fundsReserve" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "FundsReserve" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "For whom funds are to be reserved: (Patient, Provider, None)." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/fundsreserve";
fhir:link <http://hl7.org/fhir/ValueSet/fundsreserve> ] ] ], [
fhir:index 43;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "RelatedClaim" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related" ];
fhir:ElementDefinition.short [ fhir:value "Prior or corollary claims" ];
fhir:ElementDefinition.definition [ fhir:value "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event." ];
fhir:ElementDefinition.comment [ fhir:value "If the current claim represents a claim that has been adjusted and was given a prior claim number, this field represents the prior claim number. If the current claim has been adjusted; i.e., replaced by or merged to another claim number, this data element represents that new number.(111, 112)" ];
fhir:ElementDefinition.requirements [ fhir:value "For workplace or other accidents it is common to relate separate claims arising from the same event." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 44;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 45;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 46;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 47;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.claim" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.claim" ];
fhir:ElementDefinition.short [ fhir:value "Reference to the related claim" ];
fhir:ElementDefinition.definition [ fhir:value "Reference to a related claim." ];
fhir:ElementDefinition.requirements [ fhir:value "For workplace or other accidents it is common to relate separate claims arising from the same event." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related.claim" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Claim";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Claim> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 48;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.relationship" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.relationship" ];
fhir:ElementDefinition.short [ fhir:value "How the reference claim is related" ];
fhir:ElementDefinition.definition [ fhir:value "A code to convey how the claims are related." ];
fhir:ElementDefinition.comment [ fhir:value "For example, prior claim or umbrella." ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers need a declaration of the type of relationship." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related.relationship" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBRelatedClaimRelationshipCodes> ] ] ], [
fhir:index 49;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.related.reference" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.related.reference" ];
fhir:ElementDefinition.short [ fhir:value "File or case reference" ];
fhir:ElementDefinition.definition [ fhir:value "An alternate organizational reference to the case or file to which this particular claim pertains." ];
fhir:ElementDefinition.comment [ fhir:value "For example, Property/Casualty insurer claim number or Workers Compensation case number." ];
fhir:ElementDefinition.requirements [ fhir:value "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.related.reference" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 50;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.prescription" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.prescription" ];
fhir:ElementDefinition.short [ fhir:value "Prescription authorizing services or products" ];
fhir:ElementDefinition.definition [ fhir:value "Prescription to support the dispensing of pharmacy, device or vision products." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to authorize the dispensing of controlled substances and devices." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.prescription" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/VisionPrescription";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/VisionPrescription> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 51;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.originalPrescription" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.originalPrescription" ];
fhir:ElementDefinition.short [ fhir:value "Original prescription if superceded by fulfiller" ];
fhir:ElementDefinition.definition [ fhir:value "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products." ];
fhir:ElementDefinition.comment [ fhir:value "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'." ];
fhir:ElementDefinition.requirements [ fhir:value "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.originalPrescription" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 52;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Payee" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee" ];
fhir:ElementDefinition.short [ fhir:value "Recipient of benefits payable" ];
fhir:ElementDefinition.definition [ fhir:value "The party to be reimbursed for cost of the products and services according to the terms of the policy." ];
fhir:ElementDefinition.comment [ fhir:value "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead." ];
fhir:ElementDefinition.requirements [ fhir:value "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payee" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 53;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 54;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 55;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 56;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.type" ];
fhir:ElementDefinition.short [ fhir:value "Category of recipient" ];
fhir:ElementDefinition.definition [ fhir:value "Type of Party to be reimbursed: Subscriber, provider, other." ];
fhir:ElementDefinition.comment [ fhir:value "Identifies the type of recipient of the adjudication amount; i.e., provider, subscriber, beneficiary or another recipient. (120)" ];
fhir:ElementDefinition.requirements [ fhir:value "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payee.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayeeType> ] ] ], [
fhir:index 57;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payee.party" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payee.party" ];
fhir:ElementDefinition.short [ fhir:value "Recipient reference" ];
fhir:ElementDefinition.definition [ fhir:value "Reference to the individual or organization to whom any payment will be made." ];
fhir:ElementDefinition.comment [ fhir:value "Recipient reference (121)" ];
fhir:ElementDefinition.requirements [ fhir:value "Need to provide demographics if the payee is not 'subscriber' nor 'provider'." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payee.party" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization> ], [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient";
fhir:index 1;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient> ], [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner";
fhir:index 2;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 58;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.referral" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.referral" ];
fhir:ElementDefinition.short [ fhir:value "Treatment Referral" ];
fhir:ElementDefinition.definition [ fhir:value "A reference to a referral resource." ];
fhir:ElementDefinition.comment [ fhir:value "The referral resource which lists the date, practitioner, reason and other supporting information." ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers require proof of referral to pay for services or to pay specialist rates for services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.referral" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.cause" ] ] ], [
fhir:index 59;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.facility" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.facility" ];
fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ];
fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ];
fhir:ElementDefinition.requirements [ fhir:value "Insurance adjudication can be dependant on where services were delivered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.facility" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.location" ] ], [
fhir:index 1;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.where[x]" ] ] ], [
fhir:index 60;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.claim" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claim" ];
fhir:ElementDefinition.short [ fhir:value "Claim reference" ];
fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance of the adjudication request: claim predetermination or preauthorization." ];
fhir:ElementDefinition.requirements [ fhir:value "To provide a link to the original adjudication request." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.claim" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Claim";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Claim> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.why[x]" ] ] ], [
fhir:index 61;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.claimResponse" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.claimResponse" ];
fhir:ElementDefinition.short [ fhir:value "Claim response reference" ];
fhir:ElementDefinition.definition [ fhir:value "The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response." ];
fhir:ElementDefinition.requirements [ fhir:value "To provide a link to the original adjudication response." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.claimResponse" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/ClaimResponse";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/ClaimResponse> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 62;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.outcome" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.outcome" ];
fhir:ElementDefinition.short [ fhir:value "queued | complete | error | partial" ];
fhir:ElementDefinition.definition [ fhir:value "The outcome of the claim, predetermination, or preauthorization processing." ];
fhir:ElementDefinition.comment [ fhir:value "Expected value is complete" ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the requestor of an overall processing outcome." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.outcome" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RemittanceOutcome" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "The result of the claim processing." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1> ] ] ], [
fhir:index 63;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.disposition" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.disposition" ];
fhir:ElementDefinition.short [ fhir:value "Disposition Message" ];
fhir:ElementDefinition.definition [ fhir:value "A human readable description of the status of the adjudication." ];
fhir:ElementDefinition.requirements [ fhir:value "Provided for user display." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.disposition" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 64;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.preAuthRef" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.preAuthRef" ];
fhir:ElementDefinition.short [ fhir:value "Preauthorization reference" ];
fhir:ElementDefinition.definition [ fhir:value "Reference from the Insurer which is used in later communications which refers to this adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "This value is only present on preauthorization adjudications." ];
fhir:ElementDefinition.requirements [ fhir:value "On subsequent claims, the insurer may require the provider to quote this value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.preAuthRef" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 65;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.preAuthRefPeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.preAuthRefPeriod" ];
fhir:ElementDefinition.short [ fhir:value "Preauthorization in-effect period" ];
fhir:ElementDefinition.definition [ fhir:value "The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided." ];
fhir:ElementDefinition.comment [ fhir:value "This value is only present on preauthorization adjudications." ];
fhir:ElementDefinition.requirements [ fhir:value "On subsequent claims, the insurer may require the provider to quote this value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.preAuthRefPeriod" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 66;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "CareTeam" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:ElementDefinition.short [ fhir:value "Care Team members" ];
fhir:ElementDefinition.definition [ fhir:value "The members of the team who provided the products and services." ];
fhir:ElementDefinition.requirements [ fhir:value "Common to identify the responsible and supporting practitioners." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "EOB-inst-careTeam-practitioner" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Institutional EOB: Careteam roles refer to a practitioner" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(\nrole.where(coding.where(code in ('attending' | 'primary' | 'referring' | 'supervising')).exists()).exists() implies\nrole.where(coding.where(code in ('attending' | 'primary' | 'referring' | 'supervising')).exists()).exists().provider.all(resolve() is Practitioner)\n)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ], [
fhir:index 2;
fhir:ElementDefinition.constraint.key [ fhir:value "EOB-inst-careTeam-organization" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Institutional EOB: Careteam roles refer to an organization" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(\nrole.where(coding.where(code in ('performing' )).exists()).exists() implies\nrole.where(coding.where(code in ('performing' )).exists()).exists().provider.all(resolve() is Organization)\n)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 67;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 68;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 69;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 70;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Order of care team" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify care team entries." ];
fhir:ElementDefinition.comment [ fhir:value "careTeam.sequence values uniquely identify careTeam members. They do not necessarily indiate any order in which the patient was seen by the careTeam or identify any level of significance of the careTeam to the patient, etc. Client app implementations should not assign any significance to the sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 71;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.provider" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.provider" ];
fhir:ElementDefinition.short [ fhir:value "Practitioner or organization" ];
fhir:ElementDefinition.definition [ fhir:value "Member of the team who provided the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "The identifier assigned to the care team. (varies depending on the profile)" ];
fhir:ElementDefinition.requirements [ fhir:value "Often a regulatory requirement to specify the responsible provider." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.provider" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization> ], [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner";
fhir:index 1;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ] ] ], [
fhir:index 72;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ];
fhir:ElementDefinition.short [ fhir:value "Indicator of the lead practitioner" ];
fhir:ElementDefinition.definition [ fhir:value "The party who is billing and/or responsible for the claimed products or services." ];
fhir:ElementDefinition.comment [ fhir:value "Responsible might not be required when there is only a single provider listed." ];
fhir:ElementDefinition.requirements [ fhir:value "When multiple parties are present it is required to distinguish the lead or responsible individual." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.responsible" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 73;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.short [ fhir:value "Function within the team" ];
fhir:ElementDefinition.definition [ fhir:value "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team." ];
fhir:ElementDefinition.comment [ fhir:value "The functional role of a provider on a claim. (165)" ];
fhir:ElementDefinition.requirements [ fhir:value "When multiple parties are present it is required to distinguish the roles performed by each member." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInstitutionalCareTeamRole";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInstitutionalCareTeamRole> ] ] ], [
fhir:index 74;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ];
fhir:ElementDefinition.short [ fhir:value "Practitioner credential or specialization" ];
fhir:ElementDefinition.definition [ fhir:value "The qualification of the practitioner which is applicable for this service." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to specify which qualification a provider is delivering the product or service under." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.careTeam.qualification" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProviderQualification" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Provider professional qualifications." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/provider-qualification";
fhir:link <http://hl7.org/fhir/ValueSet/provider-qualification> ] ] ], [
fhir:index 75;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on $this pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "Defines data elements not available in the base EOB resource" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 76;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 77;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 78;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 79;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 80;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 81;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "InformationCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The valuset used for additional information codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-exception";
fhir:link <http://hl7.org/fhir/ValueSet/claim-exception> ] ] ], [
fhir:index 82;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 83;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 84;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 85;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "billingnetworkcontractingstatus" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "Indicates that the Billing Provider has a contract with the Plan (regardless of the network) as of the effective date of service or admission. (101)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 86;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 87;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 88;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 89;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 90;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "billingnetworkcontractingstatus" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 91;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus> ] ] ], [
fhir:index 92;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 93;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 94;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 95;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "admissionperiod" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "The Period.start date corresponds with the date the beneficiary was admitted to a facility and the onset of services. May precede the Statement From Date if this claim is for a beneficiary who has been continuously under care. The Period.end date corresponds with the date beneficiary was discharged from the facility, or died. Matches the final Statement Thru Date. When there is a discharge date, the Patient Discharge Status Code indicates the final disposition of the patient after discharge. (18, 19)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 96;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 97;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 98;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 99;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 100;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "admissionperiod" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 101;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "InformationCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The valuset used for additional information codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-exception";
fhir:link <http://hl7.org/fhir/ValueSet/claim-exception> ] ] ], [
fhir:index 102;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "type" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ] ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 103;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.timing[x]:timingPeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.sliceName [ fhir:value "timingPeriod" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 104;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 105;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 106;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "clmrecvddate" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "The date the claim was received by the payer (88)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 107;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 108;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 109;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 110;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 111;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "clmrecvddate" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 112;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "InformationCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The valuset used for additional information codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-exception";
fhir:link <http://hl7.org/fhir/ValueSet/claim-exception> ] ] ], [
fhir:index 113;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 114;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 115;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 116;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "typeofbill" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "UB04 (Form Locator 4) type of bill code provides specific information for payer purposes. The first digit of the three-digit number denotes the type of institution, the second digit classifies the type of care being billed, and the third digit identifies the frequency of the bill for a specific course of treatment or inpatient confinement. (17)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 117;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 118;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 119;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 120;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 121;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "typeofbill" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 122;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCTypeOfBill";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCTypeOfBill> ] ] ], [
fhir:index 123;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 124;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 125;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 126;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "pointoforigin" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "Identifies the place where the patient was identified as needing admission to an institution. This is a two position code mapped from the standard values for the UB-04 Source of Admission code (FL-15). (13)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 127;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 128;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 129;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 130;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 131;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "pointoforigin" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 132;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPointOfOriginForAdmissionOrVisit";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPointOfOriginForAdmissionOrVisit> ] ] ], [
fhir:index 133;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 134;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 135;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 136;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "admtype" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "Priority of the admission. Information located on (UB04 Form Locator 14). For example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled. (14)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 137;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 138;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 139;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 140;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 141;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "admtype" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 142;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisit";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisit> ] ] ], [
fhir:index 143;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 144;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 145;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 146;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "discharge-status" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "Patient’s status as of the discharge date for a facility stay. Information located on UB04. (Form Locator 17). (117)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 147;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 148;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 149;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 150;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 151;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "discharge-status" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 152;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPatientDischargeStatus";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPatientDischargeStatus> ] ] ], [
fhir:index 153;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 154;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 155;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 156;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SupportingInformation" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "drg" ];
fhir:ElementDefinition.short [ fhir:value "Supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues." ];
fhir:ElementDefinition.comment [ fhir:value "Claim diagnosis related group (DRG). DRGs require the DRG system; i.e., MS-DRG / AP-DRG / APR-DRG, the DRG version and the code value (32, 33. 113)" ];
fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 157;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 158;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 159;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 160;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify supporting information entries." ];
fhir:ElementDefinition.comment [ fhir:value "Client app implementations should look-up supportingInfo elements based on category values instead of sequence values" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 161;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.short [ fhir:value "Classification of the supplied information" ];
fhir:ElementDefinition.definition [ fhir:value "The general class of the information supplied: information; exception; accident, employment; onset, etc." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain a category for the local bill type codes." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to group or associate information items with common characteristics. For example: admission information or prior treatments." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "drg" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType> ] ] ], [
fhir:index 162;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.short [ fhir:value "Type of information" ];
fhir:ElementDefinition.definition [ fhir:value "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought." ];
fhir:ElementDefinition.comment [ fhir:value "This may contain the local bill type codes such as the US UB-04 bill type code." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to identify the kind of additional information." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/CMSMS3MAPAPRDRG";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/CMSMS3MAPAPRDRG> ] ] ], [
fhir:index 163;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.short [ fhir:value "When it occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The date when or period to which this information refers." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 164;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.value[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.short [ fhir:value "Data to be provided" ];
fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ];
fhir:ElementDefinition.comment [ fhir:value "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the data content to be provided when the information is more than a simple code or period." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.value[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [
fhir:index 3;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [
fhir:index 4;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 165;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the information" ];
fhir:ElementDefinition.definition [ fhir:value "Provides the reason in the situation where a reason code is required in addition to the content." ];
fhir:ElementDefinition.comment [ fhir:value "For example: the reason for the additional stay, or why a tooth is missing." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed when the supporting information has both a date and amount/value and requires explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.supportingInfo.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "MissingReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Reason codes for the missing teeth." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/missing-tooth-reason";
fhir:link <http://hl7.org/fhir/ValueSet/missing-tooth-reason> ] ] ], [
fhir:index 166;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Diagnosis" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:ElementDefinition.short [ fhir:value "Pertinent diagnosis information" ];
fhir:ElementDefinition.definition [ fhir:value "Information about diagnoses relevant to the claim items." ];
fhir:ElementDefinition.comment [ fhir:value "Diagnosis codes describe an individual's disease or medical condition. (6, 7, 8, 21, 22, 23, 30)" ];
fhir:ElementDefinition.requirements [ fhir:value "Required for the adjudication by provided context for the services and product listed." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 167;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 168;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 169;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 170;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Diagnosis instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify diagnosis entries." ];
fhir:ElementDefinition.comment [ fhir:value "Diagnosis.sequence values do not necessarily indiate any order in which the diagnosis was reported or identified. client app implementations should not assign any significance to the sequence values. client app implementations should use the values of diagnosis.type to identify primary, secondary, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 171;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.short [ fhir:value "Nature of illness or problem" ];
fhir:ElementDefinition.definition [ fhir:value "The nature of illness or problem in a coded form or as a reference to an external defined Condition." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides health context for the evaluation of the products and/or services." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes> ] ] ], [
fhir:index 172;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.short [ fhir:value "Timing or nature of the diagnosis" ];
fhir:ElementDefinition.definition [ fhir:value "When the condition was observed or the relative ranking." ];
fhir:ElementDefinition.comment [ fhir:value "Indicates if the inpatient institutional diagnosis is admitting, principal, other or an external cause of injury. (21, 22, 23)" ];
fhir:ElementDefinition.requirements [ fhir:value "Often required to capture a particular diagnosis, for example: primary or discharge." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInpatientInstitutionalDiagnosisType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInpatientInstitutionalDiagnosisType> ] ] ], [
fhir:index 173;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.short [ fhir:value "Present on admission" ];
fhir:ElementDefinition.definition [ fhir:value "Indication of whether the diagnosis was present on admission to a facility." ];
fhir:ElementDefinition.comment [ fhir:value "Used to capture whether a diagnosis was present at time of a patient's admission. (28)" ];
fhir:ElementDefinition.requirements [ fhir:value "Many systems need to understand for adjudication if the diagnosis was present a time of admission." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPresentOnAdmission";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPresentOnAdmission> ] ] ], [
fhir:index 174;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ];
fhir:ElementDefinition.short [ fhir:value "Package billing code" ];
fhir:ElementDefinition.definition [ fhir:value "A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system." ];
fhir:ElementDefinition.comment [ fhir:value "For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.diagnosis.packageCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "DiagnosisRelatedGroup" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The DRG codes associated with the diagnosis." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup";
fhir:link <http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup> ] ] ], [
fhir:index 175;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Procedure" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:ElementDefinition.short [ fhir:value "Clinical procedures performed" ];
fhir:ElementDefinition.definition [ fhir:value "Procedures performed on the patient relevant to the billing items with the claim." ];
fhir:ElementDefinition.comment [ fhir:value "Medical procedure a patient received during inpatient stay. Current coding methods include: International Classification of Diseases Surgical Procedures (ICD-9). Information located on UB04 (Form Locator 74). (25, 27, 10, 12)" ];
fhir:ElementDefinition.requirements [ fhir:value "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 176;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 177;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 178;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 179;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Procedure instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify procedure entries." ];
fhir:ElementDefinition.comment [ fhir:value " procedure.sequence values do not necessarily indiate any order in which the procedure occurred. client app implementations should not assign any significance to the sequence values. client app implementations should use the values of procedure.type to identify primary and secondary procedures" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to provide a mechanism to link to claim details." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 180;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.short [ fhir:value "Category of Procedure" ];
fhir:ElementDefinition.definition [ fhir:value "When the condition was observed or the relative ranking." ];
fhir:ElementDefinition.comment [ fhir:value "Indicates if the inpatient institutional procedure (ICD-PCS) is the principal procedure or another procedure. (186)" ];
fhir:ElementDefinition.requirements [ fhir:value "Often required to capture a particular diagnosis, for example: primary or discharge." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProcedureType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProcedureType> ] ] ], [
fhir:index 181;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.short [ fhir:value "When the procedure was performed" ];
fhir:ElementDefinition.definition [ fhir:value "Date and optionally time the procedure was performed." ];
fhir:ElementDefinition.requirements [ fhir:value "Required for auditing purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 182;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.short [ fhir:value "Specific clinical procedure" ];
fhir:ElementDefinition.definition [ fhir:value "The code or reference to a Procedure resource which identifies the clinical intervention performed." ];
fhir:ElementDefinition.requirements [ fhir:value "This identifies the actual clinical procedure." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/CMSICD910PCSProcedureCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/CMSICD910PCSProcedureCodes> ] ] ], [
fhir:index 183;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.procedure.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 184;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.precedence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.precedence" ];
fhir:ElementDefinition.short [ fhir:value "Precedence (primary, secondary, etc.)" ];
fhir:ElementDefinition.definition [ fhir:value "This indicates the relative order of a series of EOBs related to different coverages for the same suite of services." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to coordinate between multiple EOBs for the same suite of services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.precedence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 185;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Insurance" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:ElementDefinition.short [ fhir:value "Patient insurance information" ];
fhir:ElementDefinition.definition [ fhir:value "Financial instruments for reimbursement for the health care products and services specified on the claim." ];
fhir:ElementDefinition.comment [ fhir:value "Identity of the payers responsible for the claim. (2, 141). All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. An invariant is defined to enforce the following rule: Will have multiple occurrences on secondary / tertiary, etc. claims. Up to one occurrence, that of the ExplanationOfBenefit.insurer, will have a boolean value = 'True'" ];
fhir:ElementDefinition.requirements [ fhir:value "At least one insurer is required for a claim to be a claim." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "EOB-insurance-focal" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "EOB.insurance: at most one with focal = true" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "insurance.select (focal = true).count() < 2" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
fhir:ElementDefinition.mapping.map [ fhir:value "Coverage" ] ] ], [
fhir:index 186;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 187;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 188;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 189;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.focal" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.focal" ];
fhir:ElementDefinition.short [ fhir:value "Coverage to be used for adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true." ];
fhir:ElementDefinition.comment [ fhir:value "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies. An invariant is defined to enforce the following rule: Will have multiple occurrences on secondary / tertiary, etc. claims. Up to one occurrence, that of the ExplanationOfBenefit.insurer, will have a boolean value = 'True'" ];
fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage in the list is being used to adjudicate this claim." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance.focal" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 190;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.coverage" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.coverage" ];
fhir:ElementDefinition.short [ fhir:value "Insurance information" ];
fhir:ElementDefinition.definition [ fhir:value "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system." ];
fhir:ElementDefinition.comment [ fhir:value "Same as insurance.coverage.organization. Party responsible for reimbursing the provider. When focal = true, Coverage.payer--> Organization.identifier. When focal = false, EOB.insurance.coverage.display = [name of other carrier]" ];
fhir:ElementDefinition.requirements [ fhir:value "Required to allow the adjudicator to locate the correct policy and history within their information system." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance.coverage" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 191;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance.preAuthRef" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance.preAuthRef" ];
fhir:ElementDefinition.short [ fhir:value "Prior authorization reference number" ];
fhir:ElementDefinition.definition [ fhir:value "Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization." ];
fhir:ElementDefinition.comment [ fhir:value "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier." ];
fhir:ElementDefinition.requirements [ fhir:value "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.insurance.preAuthRef" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 192;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Accident" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident" ];
fhir:ElementDefinition.short [ fhir:value "Details of the event" ];
fhir:ElementDefinition.definition [ fhir:value "Details of a accident which resulted in injuries which required the products and services listed in the claim." ];
fhir:ElementDefinition.requirements [ fhir:value "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 193;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 194;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 195;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 196;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.date" ];
fhir:ElementDefinition.short [ fhir:value "When the incident occurred" ];
fhir:ElementDefinition.definition [ fhir:value "Date of an accident event related to the products and services contained in the claim." ];
fhir:ElementDefinition.comment [ fhir:value "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe." ];
fhir:ElementDefinition.requirements [ fhir:value "Required for audit purposes and adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident.date" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 197;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.type" ];
fhir:ElementDefinition.short [ fhir:value "The nature of the accident" ];
fhir:ElementDefinition.definition [ fhir:value "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers." ];
fhir:ElementDefinition.requirements [ fhir:value "Coverage may be dependant on the type of accident." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AccidentType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.description [ fhir:value "Type of accident: work place, auto, etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode";
fhir:link <http://terminology.hl7.org/ValueSet/v3-ActIncidentCode> ] ] ], [
fhir:index 198;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.accident.location[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.accident.location[x]" ];
fhir:ElementDefinition.short [ fhir:value "Where the event occurred" ];
fhir:ElementDefinition.definition [ fhir:value "The physical location of the accident event." ];
fhir:ElementDefinition.requirements [ fhir:value "Required for audit purposes and determination of applicable insurance liability." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.accident.location[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Address" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 199;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Item" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item" ];
fhir:ElementDefinition.short [ fhir:value "Product or service provided" ];
fhir:ElementDefinition.definition [ fhir:value "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details." ];
fhir:ElementDefinition.requirements [ fhir:value "The items to be processed for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 200;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 201;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 202;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 203;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Item instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify item entries." ];
fhir:ElementDefinition.comment [ fhir:value "Line identification number that represents the number assigned in a source system for identification and processing. (36)" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 204;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable care team members" ];
fhir:ElementDefinition.definition [ fhir:value "Care team members related to this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to identify the individuals and their roles in the provision of the product or service." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.careTeamSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 205;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable diagnoses" ];
fhir:ElementDefinition.definition [ fhir:value "Diagnoses applicable for this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to related the product or service to the associated diagnoses." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.diagnosisSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 206;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable procedures" ];
fhir:ElementDefinition.definition [ fhir:value "Procedures applicable for this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to provide any listed specific procedures to support the product or service being claimed." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.procedureSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 207;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.informationSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.informationSequence" ];
fhir:ElementDefinition.short [ fhir:value "Applicable exception and supporting information" ];
fhir:ElementDefinition.definition [ fhir:value "Exceptions, special conditions and supporting information applicable for this service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Need to reference the supporting information items that relate directly to this product or service." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.informationSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 208;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ];
fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ];
fhir:ElementDefinition.comment [ fhir:value "Code used on the UB-04 (Form Locator 42) to identify a specific accommodation, ancillary service, or billing calculation related to the service being billed (86)" ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCRevenueCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCRevenueCodes> ] ] ], [
fhir:index 209;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.category" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 210;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ];
fhir:ElementDefinition.comment [ fhir:value "Medical procedure a patient received from a health care provider. Current coding methods include: CPT-4 and HCFA Common Procedure Coding System Level II - (HCPCSII). (40)" ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes> ] ] ], [
fhir:index 211;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Product or service billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "Modifier(s) for the procedure represented on this line. Identifies special circumstances related to the performance of the service. (41)" ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers> ] ] ], [
fhir:index 212;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 213;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ];
fhir:ElementDefinition.short [ fhir:value "Date or dates of service or product delivery" ];
fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to determine whether the service or product was provided during the term of the insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.serviced[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ] ] ], [
fhir:index 214;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.location[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.location[x]" ];
fhir:ElementDefinition.short [ fhir:value "Place of service or where product was supplied" ];
fhir:ElementDefinition.definition [ fhir:value "Where the product or service was provided." ];
fhir:ElementDefinition.requirements [ fhir:value "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.location[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Address" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServicePlace" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Place where the service is rendered." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-place";
fhir:link <http://hl7.org/fhir/ValueSet/service-place> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.where[x]" ] ] ], [
fhir:index 215;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.comment [ fhir:value "The quantity of units, times, days, visits, services, or treatments for the service described by the HCPCS code, revenue code or procedure code, submitted by the provider. (42)" ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 216;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 217;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 218;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 219;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 220;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.bodySite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.bodySite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical location" ];
fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.bodySite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "OralSites" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/tooth";
fhir:link <http://hl7.org/fhir/ValueSet/tooth> ] ] ], [
fhir:index 221;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.subSite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.subSite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical sub-location" ];
fhir:ElementDefinition.definition [ fhir:value "A region or surface of the bodySite, e.g. limb region or tooth surface(s)." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.subSite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Surface" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the tooth surface and surface combinations." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/surface";
fhir:link <http://hl7.org/fhir/ValueSet/surface> ] ] ], [
fhir:index 222;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.encounter" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.encounter" ];
fhir:ElementDefinition.short [ fhir:value "Encounters related to this billed item" ];
fhir:ElementDefinition.definition [ fhir:value "A billed item may include goods or services provided in multiple encounters." ];
fhir:ElementDefinition.requirements [ fhir:value "Used in some jurisdictions to link clinical events to claim items." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.encounter" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 223;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.comment [ fhir:value "References number of the associated processNote entered" ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 224;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ] ];
fhir:ElementDefinition.short [ fhir:value "Adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "adjudication-has-amount-type-slice" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If Adjudication is present, it must have at least one adjudicationamounttype slice" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(exists() implies where(category.memberOf('http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication')).exists())" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 225;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 226;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 227;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 228;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator> ] ] ], [
fhir:index 229;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AdjudicationReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Adjudication reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication-reason> ] ] ], [
fhir:index 230;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 231;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 232;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationamounttype" ];
fhir:ElementDefinition.short [ fhir:value "Adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item." ];
fhir:ElementDefinition.comment [ fhir:value "Describes the various amount fields used when payers receive and adjudicate a claim. (187)" ];
fhir:ElementDefinition.requirements [ fhir:value "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 233;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 234;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 235;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 236;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication> ] ] ], [
fhir:index 237;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AdjudicationReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Adjudication reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication-reason> ] ] ], [
fhir:index 238;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 239;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 240;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "denialreason" ];
fhir:ElementDefinition.short [ fhir:value "Adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item." ];
fhir:ElementDefinition.comment [ fhir:value "Reason codes used to interpret the Non-Covered Amount that are provided to the Provider. (92)" ];
fhir:ElementDefinition.requirements [ fhir:value "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 241;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 242;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 243;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 244;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator" ];
fhir:Coding.code [ fhir:value "denialreason" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The adjudication codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication> ] ] ], [
fhir:index 245;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes> ] ] ], [
fhir:index 246;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 247;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 248;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "allowedunits" ];
fhir:ElementDefinition.short [ fhir:value "Adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item." ];
fhir:ElementDefinition.comment [ fhir:value "The quantity of units, times, days, visits, services, or treatments allowed for the service described by the HCPCS code, revenue code or procedure code, submitted by the provider. (149)" ];
fhir:ElementDefinition.requirements [ fhir:value "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 249;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 250;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 251;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 252;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator" ];
fhir:Coding.code [ fhir:value "allowedunits" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The adjudication codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication> ] ] ], [
fhir:index 253;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AdjudicationReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Adjudication reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication-reason> ] ] ], [
fhir:index 254;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 255;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 256;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Detail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail" ];
fhir:ElementDefinition.short [ fhir:value "Additional items" ];
fhir:ElementDefinition.definition [ fhir:value "Second-tier of goods and services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 257;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 258;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 259;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 260;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Product or service provided" ];
fhir:ElementDefinition.definition [ fhir:value "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items." ];
fhir:ElementDefinition.requirements [ fhir:value "The items to be processed for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 261;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ];
fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ];
fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.revenue" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center";
fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center> ] ] ], [
fhir:index 262;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.category" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 263;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 264;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 265;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 266;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 267;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 268;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 269;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 270;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 271;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 272;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Detail level adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 273;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "SubDetail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ];
fhir:ElementDefinition.short [ fhir:value "Additional items" ];
fhir:ElementDefinition.definition [ fhir:value "Third-tier of goods and services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 274;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 275;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 276;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 277;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ];
fhir:ElementDefinition.short [ fhir:value "Product or service provided" ];
fhir:ElementDefinition.definition [ fhir:value "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items." ];
fhir:ElementDefinition.requirements [ fhir:value "The items to be processed for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.sequence" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 278;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ];
fhir:ElementDefinition.short [ fhir:value "Revenue or cost center code" ];
fhir:ElementDefinition.definition [ fhir:value "The type of revenue or cost center providing the product and/or service." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.revenue" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "RevenueCenter" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Codes for the revenue or cost centers supplying the service and/or products." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-revenue-center";
fhir:link <http://hl7.org/fhir/ValueSet/ex-revenue-center> ] ] ], [
fhir:index 279;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.category" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 280;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 281;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 282;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 283;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 284;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 285;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 286;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 287;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ];
fhir:ElementDefinition.short [ fhir:value "Unique device identifier" ];
fhir:ElementDefinition.definition [ fhir:value "Unique Device Identifiers associated with this line item." ];
fhir:ElementDefinition.requirements [ fhir:value "The UDI code allows the insurer to obtain device level information on the product supplied." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.udi" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 288;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 289;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Subdetail level adjudication details" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.detail.subDetail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 290;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "740;600" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "AddedItem" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem" ];
fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
fhir:ElementDefinition.definition [ fhir:value "The first-tier service adjudications for payor added product or service lines." ];
fhir:ElementDefinition.requirements [ fhir:value "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 291;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 292;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 293;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 294;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ];
fhir:ElementDefinition.short [ fhir:value "Item sequence number" ];
fhir:ElementDefinition.definition [ fhir:value "Claim items which this service line is intended to replace." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides references to the claim items." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.itemSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 295;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ];
fhir:ElementDefinition.short [ fhir:value "Detail sequence number" ];
fhir:ElementDefinition.definition [ fhir:value "The sequence number of the details within the claim item which this line is intended to replace." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides references to the claim details within the claim item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detailSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 296;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ];
fhir:ElementDefinition.short [ fhir:value "Subdetail sequence number" ];
fhir:ElementDefinition.definition [ fhir:value "The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides references to the claim sub-details within the claim detail." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.subDetailSequence" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 297;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.provider" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.provider" ];
fhir:ElementDefinition.short [ fhir:value "Authorized providers" ];
fhir:ElementDefinition.definition [ fhir:value "The providers who are authorized for the services rendered to the patient." ];
fhir:ElementDefinition.requirements [ fhir:value "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.provider" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
fhir:index 1;
fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ], [
fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
fhir:index 2;
fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.source" ] ] ], [
fhir:index 298;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 299;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 300;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.programCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.programCode" ];
fhir:ElementDefinition.short [ fhir:value "Program the product or service is provided under" ];
fhir:ElementDefinition.definition [ fhir:value "Identifies the program under which this may be recovered." ];
fhir:ElementDefinition.comment [ fhir:value "For example: Neonatal program, child dental program or drug users recovery program." ];
fhir:ElementDefinition.requirements [ fhir:value "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.programCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ProgramCode" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Program specific reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-program-code";
fhir:link <http://hl7.org/fhir/ValueSet/ex-program-code> ] ] ], [
fhir:index 301;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ];
fhir:ElementDefinition.short [ fhir:value "Date or dates of service or product delivery" ];
fhir:ElementDefinition.definition [ fhir:value "The date or dates when the service or product was supplied, performed or completed." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to determine whether the service or product was provided during the term of the insurance coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.serviced[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ] ] ], [
fhir:index 302;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ];
fhir:ElementDefinition.short [ fhir:value "Place of service or where product was supplied" ];
fhir:ElementDefinition.definition [ fhir:value "Where the product or service was provided." ];
fhir:ElementDefinition.requirements [ fhir:value "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.location[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Address" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/StructureDefinition/Location";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/Location> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServicePlace" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Place where the service is rendered." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-place";
fhir:link <http://hl7.org/fhir/ValueSet/service-place> ] ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.where[x]" ] ] ], [
fhir:index 303;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 304;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 305;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 306;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 307;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical location" ];
fhir:ElementDefinition.definition [ fhir:value "Physical service site on the patient (limb, tooth, etc.)." ];
fhir:ElementDefinition.comment [ fhir:value "For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.bodySite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "OralSites" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the teeth, quadrant, sextant and arch." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/tooth";
fhir:link <http://hl7.org/fhir/ValueSet/tooth> ] ] ], [
fhir:index 308;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.subSite" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.subSite" ];
fhir:ElementDefinition.short [ fhir:value "Anatomical sub-location" ];
fhir:ElementDefinition.definition [ fhir:value "A region or surface of the bodySite, e.g. limb region or tooth surface(s)." ];
fhir:ElementDefinition.requirements [ fhir:value "Allows insurer to validate specific procedures." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.subSite" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Surface" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The code for the tooth surface and surface combinations." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/surface";
fhir:link <http://hl7.org/fhir/ValueSet/surface> ] ] ], [
fhir:index 309;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 310;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 311;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "740;600" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "AddedItemDetail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail" ];
fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
fhir:ElementDefinition.definition [ fhir:value "The second-tier service adjudications for payor added services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 312;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 313;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 314;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 315;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 316;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 317;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 318;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 319;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 320;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 321;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 322;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 323;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "740;600" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "AddedItemDetailSubDetail" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ];
fhir:ElementDefinition.short [ fhir:value "Insurer added line items" ];
fhir:ElementDefinition.definition [ fhir:value "The third-tier service adjudications for payor added services." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 324;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 325;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 326;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 327;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ];
fhir:ElementDefinition.short [ fhir:value "Billing, service, product, or drug code" ];
fhir:ElementDefinition.definition [ fhir:value "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item." ];
fhir:ElementDefinition.comment [ fhir:value "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to state what was provided or done." ];
fhir:ElementDefinition.alias [
fhir:value "Drug Code";
fhir:index 0 ], [
fhir:value "Bill Code";
fhir:index 1 ], [
fhir:value "Service Code";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.productOrService" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "ServiceProduct" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Allowable service and product codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/service-uscls";
fhir:link <http://hl7.org/fhir/ValueSet/service-uscls> ] ] ], [
fhir:index 328;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ];
fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ];
fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes to convey additional context for the product or service." ];
fhir:ElementDefinition.comment [ fhir:value "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours." ];
fhir:ElementDefinition.requirements [ fhir:value "To support inclusion of the item for adjudication or to charge an elevated fee." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.modifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Modifiers" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers";
fhir:link <http://hl7.org/fhir/ValueSet/claim-modifiers> ] ] ], [
fhir:index 329;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ];
fhir:ElementDefinition.short [ fhir:value "Count of products or services" ];
fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ];
fhir:ElementDefinition.requirements [ fhir:value "Required when the product or service code does not convey the quantity provided." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.quantity" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
fhir:ElementDefinition.type.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 330;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per item" ];
fhir:ElementDefinition.definition [ fhir:value "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group." ];
fhir:ElementDefinition.requirements [ fhir:value "The amount charged to the patient by the provider for a single unit." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 331;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ];
fhir:ElementDefinition.short [ fhir:value "Price scaling factor" ];
fhir:ElementDefinition.definition [ fhir:value "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount." ];
fhir:ElementDefinition.comment [ fhir:value "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10)." ];
fhir:ElementDefinition.requirements [ fhir:value "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.factor" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 332;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ];
fhir:ElementDefinition.short [ fhir:value "Total item cost" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity times the unit price for an additional service or product or charge." ];
fhir:ElementDefinition.comment [ fhir:value "For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the total amount claimed for the group (if a grouper) or the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.net" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 333;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.short [ fhir:value "Applicable note numbers" ];
fhir:ElementDefinition.definition [ fhir:value "The numbers associated with notes below which apply to the adjudication of this item." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 334;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ];
fhir:ElementDefinition.short [ fhir:value "Added items adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.addItem.detail.subDetail.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 335;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ] ];
fhir:ElementDefinition.short [ fhir:value "Header-level adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results which are presented at the header level rather than at the line-item or add-item levels." ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers will receive line-items but provide the adjudication only at a summary or header-level." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "adjudication-has-amount-type-slice" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If Adjudication is present, it must have at least one adjudicationamounttype slice" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(exists() implies where(category.memberOf('http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication')).exists())" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 336;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 337;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 338;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 339;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator> ] ] ], [
fhir:index 340;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AdjudicationReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Adjudication reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication-reason> ] ] ], [
fhir:index 341;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 342;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 343;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationamounttype" ];
fhir:ElementDefinition.short [ fhir:value "Header-level adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results which are presented at the header level rather than at the line-item or add-item levels." ];
fhir:ElementDefinition.comment [ fhir:value "Describes the various amount fields used when payers receive and adjudicate a claim. (187)" ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers will receive line-items but provide the adjudication only at a summary or header-level." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 344;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 345;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 346;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 347;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication> ] ] ], [
fhir:index 348;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "For example, may indicate that the funds for this benefit type have been exhausted." ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "AdjudicationReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Adjudication reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication-reason";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication-reason> ] ] ], [
fhir:index 349;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 350;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 351;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "denialreason" ];
fhir:ElementDefinition.short [ fhir:value "Header-level adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "The adjudication results which are presented at the header level rather than at the line-item or add-item levels." ];
fhir:ElementDefinition.comment [ fhir:value "Reason codes used to interpret the Non-Covered Amount that are provided to the Provider. (92)" ];
fhir:ElementDefinition.requirements [ fhir:value "Some insurers will receive line-items but provide the adjudication only at a summary or header-level." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 352;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 353;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 354;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 355;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to enable understanding of the context of the other information in the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator" ];
fhir:Coding.code [ fhir:value "denialreason" ] ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Adjudication" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The adjudication codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/adjudication";
fhir:link <http://hl7.org/fhir/ValueSet/adjudication> ] ] ], [
fhir:index 356;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.reason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation of adjudication outcome" ];
fhir:ElementDefinition.definition [ fhir:value "A code supporting the understanding of the adjudication result and explaining variance from expected amount." ];
fhir:ElementDefinition.comment [ fhir:value "Reason codes used to interpret the Non-Covered Amount that are provided to the Provider. (92)" ];
fhir:ElementDefinition.requirements [ fhir:value "To support understanding of variance from adjudication expectations." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes> ] ] ], [
fhir:index 357;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.amount" ];
fhir:ElementDefinition.short [ fhir:value "Monetary amount" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "For example, amount submitted, eligible amount, co-payment, and benefit payable." ];
fhir:ElementDefinition.requirements [ fhir:value "Most adjuciation categories convey a monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 358;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.value" ];
fhir:ElementDefinition.short [ fhir:value "Non-monitary value" ];
fhir:ElementDefinition.definition [ fhir:value "A non-monetary value associated with the category. Mutually exclusive to the amount element above." ];
fhir:ElementDefinition.comment [ fhir:value "For example: eligible percentage or co-payment percentage." ];
fhir:ElementDefinition.requirements [ fhir:value "Some adjudication categories convey a percentage or a fixed value." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "decimal" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 359;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "'360;620" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Total" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ];
fhir:ElementDefinition.definition [ fhir:value "Categorized monetary totals for the adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "Totals for amounts submitted, co-pays, benefits payable etc." ];
fhir:ElementDefinition.requirements [ fhir:value "To provide the requestor with financial totals by category for the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 360;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 361;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 362;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 363;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the type of total provided." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator> ] ] ], [
fhir:index 364;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.short [ fhir:value "Financial total for the category" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary total amount associated with the category." ];
fhir:ElementDefinition.comment [ fhir:value "Total amount for each category (i.e., submitted, allowed, etc.) (148)" ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the total monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 365;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "'360;620" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Total" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationamounttype" ];
fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ];
fhir:ElementDefinition.definition [ fhir:value "Categorized monetary totals for the adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "Describes the various amount fields used when payers receive and adjudicate a claim. (187)" ];
fhir:ElementDefinition.requirements [ fhir:value "To provide the requestor with financial totals by category for the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 366;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 367;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 368;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 369;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the type of total provided." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication> ] ] ], [
fhir:index 370;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.short [ fhir:value "Financial total for the category" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary total amount associated with the category." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the total monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 371;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "'360;620" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Total" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.sliceName [ fhir:value "inoutnetwork" ];
fhir:ElementDefinition.short [ fhir:value "Adjudication totals" ];
fhir:ElementDefinition.definition [ fhir:value "Categorized monetary totals for the adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "Indicates the in network or out of network payment status of the claim. (142)" ];
fhir:ElementDefinition.requirements [ fhir:value "To provide the requestor with financial totals by category for the adjudication." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 372;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 373;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 374;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 375;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.short [ fhir:value "Type of adjudication information" ];
fhir:ElementDefinition.definition [ fhir:value "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item." ];
fhir:ElementDefinition.comment [ fhir:value "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the type of total provided." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus> ] ] ], [
fhir:index 376;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.short [ fhir:value "Financial total for the category" ];
fhir:ElementDefinition.definition [ fhir:value "Monetary total amount associated with the category." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the total monetary amount." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 377;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
fhir:Extension.valueString [ fhir:value "360;650" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Payment" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment" ];
fhir:ElementDefinition.short [ fhir:value "Payment Details" ];
fhir:ElementDefinition.definition [ fhir:value "Payment details for the adjudication of the claim." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey references to the financial instrument that has been used if payment has been made." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 378;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 379;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 380;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 381;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.type" ];
fhir:ElementDefinition.short [ fhir:value "Partial or complete payment" ];
fhir:ElementDefinition.definition [ fhir:value "Whether this represents partial or complete payment of the benefits payable." ];
fhir:ElementDefinition.comment [ fhir:value "Indicates whether the claim was paid or denied. (91)" ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the requestor when the insurer believes all payments to have been completed." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerClaimPaymentStatusCode> ] ] ], [
fhir:index 382;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustment" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustment" ];
fhir:ElementDefinition.short [ fhir:value "Payment adjustment for non-claim issues" ];
fhir:ElementDefinition.definition [ fhir:value "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication." ];
fhir:ElementDefinition.comment [ fhir:value "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider." ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the requestor of adjustments applied to the payment." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.adjustment" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 383;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ];
fhir:ElementDefinition.short [ fhir:value "Explanation for the variance" ];
fhir:ElementDefinition.definition [ fhir:value "Reason for the payment adjustment." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to clarify the monetary adjustment." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.adjustmentReason" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "PaymentAdjustmentReason" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Payment Adjustment reason codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/payment-adjustment-reason";
fhir:link <http://hl7.org/fhir/ValueSet/payment-adjustment-reason> ] ] ], [
fhir:index 384;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.short [ fhir:value "Expected date of payment" ];
fhir:ElementDefinition.definition [ fhir:value "Estimated date the payment will be issued or the actual issue date of payment." ];
fhir:ElementDefinition.comment [ fhir:value "The date the claim was paid. (107)" ];
fhir:ElementDefinition.requirements [ fhir:value "To advise the payee when payment can be expected." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 385;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.amount" ];
fhir:ElementDefinition.short [ fhir:value "Payable amount after adjustment" ];
fhir:ElementDefinition.definition [ fhir:value "Benefits payable less any payment adjustment." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to provide the actual payment amount." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.amount" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 386;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.identifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.identifier" ];
fhir:ElementDefinition.short [ fhir:value "Business identifier for the payment" ];
fhir:ElementDefinition.definition [ fhir:value "Issuer's unique identifier for the payment instrument." ];
fhir:ElementDefinition.comment [ fhir:value "For example: EFT number or check number." ];
fhir:ElementDefinition.requirements [ fhir:value "Enable the receiver to reconcile when payment received." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.payment.identifier" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 387;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.formCode" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.formCode" ];
fhir:ElementDefinition.short [ fhir:value "Printed form identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A code for the form to be used for printing the content." ];
fhir:ElementDefinition.comment [ fhir:value "May be needed to identify specific jurisdictional forms." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to specify the specific form used for producing output for this response." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.formCode" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Forms" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "The forms codes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/forms";
fhir:link <http://hl7.org/fhir/ValueSet/forms> ] ] ], [
fhir:index 388;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.form" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.form" ];
fhir:ElementDefinition.short [ fhir:value "Printed reference or actual form" ];
fhir:ElementDefinition.definition [ fhir:value "The actual form, by reference or inclusion, for printing the content or an EOB." ];
fhir:ElementDefinition.comment [ fhir:value "Needed to permit insurers to include the actual form." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to include the specific form used for producing output for this response." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.form" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 389;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Note" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote" ];
fhir:ElementDefinition.short [ fhir:value "Note concerning adjudication" ];
fhir:ElementDefinition.definition [ fhir:value "A note that describes or explains adjudication results in a human readable form." ];
fhir:ElementDefinition.requirements [ fhir:value "Provides the insurer specific textual explanations associated with the processing." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 390;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 391;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 392;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 393;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.number" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.number" ];
fhir:ElementDefinition.short [ fhir:value "Note instance identifier" ];
fhir:ElementDefinition.definition [ fhir:value "A number to uniquely identify a note entry." ];
fhir:ElementDefinition.requirements [ fhir:value "Necessary to provide a mechanism to link from adjudications." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.number" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 394;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.type" ];
fhir:ElementDefinition.short [ fhir:value "display | print | printoper" ];
fhir:ElementDefinition.definition [ fhir:value "The business purpose of the note text." ];
fhir:ElementDefinition.requirements [ fhir:value "To convey the expectation for when the text is used." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.type" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "code" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "NoteType" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.description [ fhir:value "The presentation types of notes." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/note-type|4.0.1";
fhir:link <http://hl7.org/fhir/ValueSet/note-type|4.0.1> ] ] ], [
fhir:index 395;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.short [ fhir:value "Note explanatory text" ];
fhir:ElementDefinition.definition [ fhir:value "The explanation or description associated with the processing." ];
fhir:ElementDefinition.comment [ fhir:value "Payment denial explanation to a member, typically goes on the EOB when the payment is denied or disallowed (181)" ];
fhir:ElementDefinition.requirements [ fhir:value "Required to provide human readable explanation." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 396;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.language" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.language" ];
fhir:ElementDefinition.short [ fhir:value "Language of the text" ];
fhir:ElementDefinition.definition [ fhir:value "A code to define the language used in the text of the note." ];
fhir:ElementDefinition.comment [ fhir:value "Only required if the language is different from the resource language." ];
fhir:ElementDefinition.requirements [ fhir:value "Note text may vary from the resource defined language." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.processNote.language" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/ValueSet/all-languages";
fhir:link <http://hl7.org/fhir/ValueSet/all-languages> ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "Language" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/languages";
fhir:link <http://hl7.org/fhir/ValueSet/languages> ] ] ], [
fhir:index 397;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitPeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitPeriod" ];
fhir:ElementDefinition.short [ fhir:value "When the benefits are applicable" ];
fhir:ElementDefinition.definition [ fhir:value "The term of the benefits documented in this response." ];
fhir:ElementDefinition.comment [ fhir:value "Not applicable when use=claim." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitPeriod" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 398;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "BenefitBalance" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance" ];
fhir:ElementDefinition.short [ fhir:value "Balance by Benefit Category" ];
fhir:ElementDefinition.definition [ fhir:value "Balance by Benefit Category." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 399;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 400;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 401;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 402;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Code to identify the general type of benefits under which products and services are provided." ];
fhir:ElementDefinition.comment [ fhir:value "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the category of service or product for which eligibility is sought." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.category" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitCategory" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Benefit categories such as: oral, medical, vision, oral-basic etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory";
fhir:link <http://hl7.org/fhir/ValueSet/ex-benefitcategory> ] ] ], [
fhir:index 403;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ];
fhir:ElementDefinition.short [ fhir:value "Excluded from the plan" ];
fhir:ElementDefinition.definition [ fhir:value "True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to identify items that are specifically excluded from the coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.excluded" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 404;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ];
fhir:ElementDefinition.short [ fhir:value "Short name for the benefit" ];
fhir:ElementDefinition.definition [ fhir:value "A short name or tag for the benefit." ];
fhir:ElementDefinition.comment [ fhir:value "For example: MED01, or DENT2." ];
fhir:ElementDefinition.requirements [ fhir:value "Required to align with other plan names." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.name" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 405;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ];
fhir:ElementDefinition.short [ fhir:value "Description of the benefit or services covered" ];
fhir:ElementDefinition.definition [ fhir:value "A richer description of the benefit or services covered." ];
fhir:ElementDefinition.comment [ fhir:value "For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed for human readable reference." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.description" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 406;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ];
fhir:ElementDefinition.short [ fhir:value "In or out of network" ];
fhir:ElementDefinition.definition [ fhir:value "Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed as in or out of network providers are treated differently under the coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.network" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitNetwork" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Code to classify in or out of network services." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-network";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-network> ] ] ], [
fhir:index 407;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ];
fhir:ElementDefinition.short [ fhir:value "Individual or family" ];
fhir:ElementDefinition.definition [ fhir:value "Indicates if the benefits apply to an individual or to the family." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed for the understanding of the benefits." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.unit" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitUnit" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Unit covered/serviced - individual or family." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-unit";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-unit> ] ] ], [
fhir:index 408;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ];
fhir:ElementDefinition.short [ fhir:value "Annual or lifetime" ];
fhir:ElementDefinition.definition [ fhir:value "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed for the understanding of the benefits." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.term" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitTerm" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Coverage unit - annual, lifetime." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-term";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-term> ] ] ], [
fhir:index 409;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
fhir:Extension.valueString [ fhir:value "Benefit" ] ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ];
fhir:ElementDefinition.short [ fhir:value "Benefit Summary" ];
fhir:ElementDefinition.definition [ fhir:value "Benefits Used to date." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 410;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.id" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.id" ];
fhir:ElementDefinition.representation [
fhir:value "xmlAttr";
fhir:index 0 ];
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
fhir:Extension.valueUrl [ fhir:value "string" ] ];
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 411;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.extension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.extension" ];
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [
fhir:index 412;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.modifierExtension" ];
fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ];
fhir:ElementDefinition.alias [
fhir:value "extensions";
fhir:index 0 ], [
fhir:value "user content";
fhir:index 1 ], [
fhir:value "modifiers";
fhir:index 2 ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "*" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.mapping [
fhir:index 0;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [
fhir:index 413;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ];
fhir:ElementDefinition.short [ fhir:value "Benefit classification" ];
fhir:ElementDefinition.definition [ fhir:value "Classification of benefit being provided." ];
fhir:ElementDefinition.comment [ fhir:value "For example: deductible, visits, benefit amount." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the nature of the benefit." ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.type" ];
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
fhir:Extension.valueString [ fhir:value "BenefitType" ] ];
fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
fhir:ElementDefinition.binding.description [ fhir:value "Deductable, visits, co-pay, etc." ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/ValueSet/benefit-type";
fhir:link <http://hl7.org/fhir/ValueSet/benefit-type> ] ] ], [
fhir:index 414;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ];
fhir:ElementDefinition.short [ fhir:value "Benefits allowed" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity of the benefit which is permitted under the coverage." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the benefits offered under the coverage." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.allowed[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [
fhir:index 2;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [
fhir:index 415;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ];
fhir:ElementDefinition.short [ fhir:value "Benefits used" ];
fhir:ElementDefinition.definition [ fhir:value "The quantity of the benefit which have been consumed to date." ];
fhir:ElementDefinition.requirements [ fhir:value "Needed to convey the benefits consumed to date." ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "ExplanationOfBenefit.benefitBalance.financial.used[x]" ];
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.base.max [ fhir:value "1" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ] ], [
fhir:index 1;
fhir:ElementDefinition.type.code [ fhir:value "Money" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ];
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ]
];
fhir:StructureDefinition.differential [
fhir:StructureDefinition.differential.element [
fhir:index 0;
fhir:Element.id [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 2;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 3;
fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ];
fhir:Extension.valueMarkdown [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ];
fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ], [
fhir:index 5;
fhir:ElementDefinition.constraint.key [ fhir:value "EOB-institutional-item-or-header-adjudication" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Institutional EOB: Should have adjudication at the item or header level, but not both" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(adjudication.exists() != item.adjudication.exists())" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.type" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ];
fhir:Coding.code [ fhir:value "institutional" ] ] ] ], [
fhir:index 2;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ], [
fhir:index 3;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod.start" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod.start" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.billablePeriod.end" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.billablePeriod.end" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 5;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.created" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 6;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.provider" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
fhir:ElementDefinition.type.targetProfile [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization> ] ] ], [
fhir:index 7;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam" ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "EOB-inst-careTeam-practitioner" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Institutional EOB: Careteam roles refer to a practitioner" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(\nrole.where(coding.where(code in ('attending' | 'primary' | 'referring' | 'supervising')).exists()).exists() implies\nrole.where(coding.where(code in ('attending' | 'primary' | 'referring' | 'supervising')).exists()).exists().provider.all(resolve() is Practitioner)\n)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ], [
fhir:index 2;
fhir:ElementDefinition.constraint.key [ fhir:value "EOB-inst-careTeam-organization" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "Institutional EOB: Careteam roles refer to an organization" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(\nrole.where(coding.where(code in ('performing' )).exists()).exists() implies\nrole.where(coding.where(code in ('performing' )).exists()).exists().provider.all(resolve() is Organization)\n)" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ] ], [
fhir:index 8;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.careTeam.role" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInstitutionalCareTeamRole";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInstitutionalCareTeamRole> ] ] ], [
fhir:index 9;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on $this pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ], [
fhir:index 10;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "billingnetworkcontractingstatus" ];
fhir:ElementDefinition.comment [ fhir:value "Indicates that the Billing Provider has a contract with the Plan (regardless of the network) as of the effective date of service or admission. (101)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 11;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "billingnetworkcontractingstatus" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 12;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerProviderContractingStatus> ] ] ], [
fhir:index 13;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "admissionperiod" ];
fhir:ElementDefinition.comment [ fhir:value "The Period.start date corresponds with the date the beneficiary was admitted to a facility and the onset of services. May precede the Statement From Date if this claim is for a beneficiary who has been continuously under care. The Period.end date corresponds with the date beneficiary was discharged from the facility, or died. Matches the final Statement Thru Date. When there is a discharge date, the Patient Discharge Status Code indicates the final disposition of the patient after discharge. (18, 19)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 14;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "admissionperiod" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 15;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "type" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this" ] ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ], [
fhir:index 16;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admissionperiod.timingPeriod" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timingPeriod" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "Period" ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 17;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "clmrecvddate" ];
fhir:ElementDefinition.comment [ fhir:value "The date the claim was received by the payer (88)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 18;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "clmrecvddate" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 19;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:clmrecvddate.timing[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.timing[x]" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "date" ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 20;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "typeofbill" ];
fhir:ElementDefinition.comment [ fhir:value "UB04 (Form Locator 4) type of bill code provides specific information for payer purposes. The first digit of the three-digit number denotes the type of institution, the second digit classifies the type of care being billed, and the third digit identifies the frequency of the bill for a specific course of treatment or inpatient confinement. (17)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 21;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "typeofbill" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 22;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:typeofbill.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCTypeOfBill";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCTypeOfBill> ] ] ], [
fhir:index 23;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "pointoforigin" ];
fhir:ElementDefinition.comment [ fhir:value "Identifies the place where the patient was identified as needing admission to an institution. This is a two position code mapped from the standard values for the UB-04 Source of Admission code (FL-15). (13)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 24;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "pointoforigin" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 25;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:pointoforigin.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPointOfOriginForAdmissionOrVisit";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPointOfOriginForAdmissionOrVisit> ] ] ], [
fhir:index 26;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "admtype" ];
fhir:ElementDefinition.comment [ fhir:value "Priority of the admission. Information located on (UB04 Form Locator 14). For example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled. (14)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 27;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "admtype" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 28;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:admtype.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisit";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisit> ] ] ], [
fhir:index 29;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "discharge-status" ];
fhir:ElementDefinition.comment [ fhir:value "Patient’s status as of the discharge date for a facility stay. Information located on UB04. (Form Locator 17). (117)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 30;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "discharge-status" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 31;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:discharge-status.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPatientDischargeStatus";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPatientDischargeStatus> ] ] ], [
fhir:index 32;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo" ];
fhir:ElementDefinition.sliceName [ fhir:value "drg" ];
fhir:ElementDefinition.comment [ fhir:value "Claim diagnosis related group (DRG). DRGs require the DRG system; i.e., MS-DRG / AP-DRG / APR-DRG, the DRG version and the code value (32, 33. 113)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 33;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" ];
fhir:Coding.code [ fhir:value "drg" ] ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 34;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.supportingInfo:drg.code" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.supportingInfo.code" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/CMSMS3MAPAPRDRG";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/CMSMS3MAPAPRDRG> ] ] ], [
fhir:index 35;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis" ];
fhir:ElementDefinition.comment [ fhir:value "Diagnosis codes describe an individual's disease or medical condition. (6, 7, 8, 21, 22, 23, 30)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 36;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.sequence" ];
fhir:ElementDefinition.comment [ fhir:value "Diagnosis.sequence values do not necessarily indiate any order in which the diagnosis was reported or identified. client app implementations should not assign any significance to the sequence values. client app implementations should use the values of diagnosis.type to identify primary, secondary, etc." ] ], [
fhir:index 37;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.diagnosis[x]" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/CDCICD910CMDiagnosisCodes> ] ] ], [
fhir:index 38;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.type" ];
fhir:ElementDefinition.comment [ fhir:value "Indicates if the inpatient institutional diagnosis is admitting, principal, other or an external cause of injury. (21, 22, 23)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInpatientInstitutionalDiagnosisType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimInpatientInstitutionalDiagnosisType> ] ] ], [
fhir:index 39;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.diagnosis.onAdmission" ];
fhir:ElementDefinition.comment [ fhir:value "Used to capture whether a diagnosis was present at time of a patient's admission. (28)" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPresentOnAdmission";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCPresentOnAdmission> ] ] ], [
fhir:index 40;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure" ];
fhir:ElementDefinition.comment [ fhir:value "Medical procedure a patient received during inpatient stay. Current coding methods include: International Classification of Diseases Surgical Procedures (ICD-9). Information located on UB04 (Form Locator 74). (25, 27, 10, 12)" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 41;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.sequence" ];
fhir:ElementDefinition.comment [ fhir:value " procedure.sequence values do not necessarily indiate any order in which the procedure occurred. client app implementations should not assign any significance to the sequence values. client app implementations should use the values of procedure.type to identify primary and secondary procedures" ] ], [
fhir:index 42;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.type" ];
fhir:ElementDefinition.comment [ fhir:value "Indicates if the inpatient institutional procedure (ICD-PCS) is the principal procedure or another procedure. (186)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProcedureType";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBClaimProcedureType> ] ] ], [
fhir:index 43;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.date" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 44;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.procedure.procedure[x]" ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/CMSICD910PCSProcedureCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/CMSICD910PCSProcedureCodes> ] ] ], [
fhir:index 45;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.insurance" ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 46;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.revenue" ];
fhir:ElementDefinition.comment [ fhir:value "Code used on the UB-04 (Form Locator 42) to identify a specific accommodation, ancillary service, or billing calculation related to the service being billed (86)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCRevenueCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AHANUBCRevenueCodes> ] ] ], [
fhir:index 47;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.productOrService" ];
fhir:ElementDefinition.comment [ fhir:value "Medical procedure a patient received from a health care provider. Current coding methods include: CPT-4 and HCFA Common Procedure Coding System Level II - (HCPCSII). (40)" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSProcedureCodes> ] ] ], [
fhir:index 48;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.modifier" ];
fhir:ElementDefinition.comment [ fhir:value "Modifier(s) for the procedure represented on this line. Identifies special circumstances related to the performance of the service. (41)" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/AMACPTCMSHCPCSModifiers> ] ] ], [
fhir:index 49;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.quantity" ];
fhir:ElementDefinition.comment [ fhir:value "The quantity of units, times, days, visits, services, or treatments for the service described by the HCPCS code, revenue code or procedure code, submitted by the provider. (42)" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 50;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "adjudication-has-amount-type-slice" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If Adjudication is present, it must have at least one adjudicationamounttype slice" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(exists() implies where(category.memberOf('http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication')).exists())" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 51;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator> ] ] ], [
fhir:index 52;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationamounttype" ];
fhir:ElementDefinition.comment [ fhir:value "Describes the various amount fields used when payers receive and adjudicate a claim. (187)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 53;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication> ] ] ], [
fhir:index 54;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:adjudicationamounttype.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.amount" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 55;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "denialreason" ];
fhir:ElementDefinition.comment [ fhir:value "Reason codes used to interpret the Non-Covered Amount that are provided to the Provider. (92)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 56;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator" ];
fhir:Coding.code [ fhir:value "denialreason" ] ] ] ], [
fhir:index 57;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:denialreason.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.reason" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes> ] ] ], [
fhir:index 58;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "allowedunits" ];
fhir:ElementDefinition.comment [ fhir:value "The quantity of units, times, days, visits, services, or treatments allowed for the service described by the HCPCS code, revenue code or procedure code, submitted by the provider. (149)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 59;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator" ];
fhir:Coding.code [ fhir:value "allowedunits" ] ] ] ], [
fhir:index 60;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.item.adjudication:allowedunits.value" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.item.adjudication.value" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 61;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ] ];
fhir:ElementDefinition.type [
fhir:index 0;
fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ];
fhir:ElementDefinition.constraint [
fhir:index 0;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ], [
fhir:index 1;
fhir:ElementDefinition.constraint.key [ fhir:value "adjudication-has-amount-type-slice" ];
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
fhir:ElementDefinition.constraint.human [ fhir:value "If Adjudication is present, it must have at least one adjudicationamounttype slice" ];
fhir:ElementDefinition.constraint.expression [ fhir:value "(exists() implies where(category.memberOf('http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication')).exists())" ];
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional";
fhir:link <http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional> ] ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 62;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudicationCategoryDiscriminator> ] ] ], [
fhir:index 63;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationamounttype" ];
fhir:ElementDefinition.comment [ fhir:value "Describes the various amount fields used when payers receive and adjudicate a claim. (187)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ] ], [
fhir:index 64;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication> ] ] ], [
fhir:index 65;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:adjudicationamounttype.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.amount" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ], [
fhir:index 66;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication" ];
fhir:ElementDefinition.sliceName [ fhir:value "denialreason" ];
fhir:ElementDefinition.comment [ fhir:value "Reason codes used to interpret the Non-Covered Amount that are provided to the Provider. (92)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ] ], [
fhir:index 67;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.category" ];
fhir:ElementDefinition.patternCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator" ];
fhir:Coding.code [ fhir:value "denialreason" ] ] ] ], [
fhir:index 68;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.adjudication:denialreason.reason" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.adjudication.reason" ];
fhir:ElementDefinition.comment [ fhir:value "Reason codes used to interpret the Non-Covered Amount that are provided to the Provider. (92)" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes> ] ] ], [
fhir:index 69;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ];
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "category" ] ];
fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value pattern" ];
fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ] ], [
fhir:index 70;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBTotalCategoryDiscriminator> ] ] ], [
fhir:index 71;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.comment [ fhir:value "Total amount for each category (i.e., submitted, allowed, etc.) (148)" ] ], [
fhir:index 72;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.sliceName [ fhir:value "adjudicationamounttype" ];
fhir:ElementDefinition.comment [ fhir:value "Describes the various amount fields used when payers receive and adjudicate a claim. (187)" ];
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "*" ] ], [
fhir:index 73;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication> ] ] ], [
fhir:index 74;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:adjudicationamounttype.amount" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.amount" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 75;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total" ];
fhir:ElementDefinition.sliceName [ fhir:value "inoutnetwork" ];
fhir:ElementDefinition.comment [ fhir:value "Indicates the in network or out of network payment status of the claim. (142)" ];
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
fhir:ElementDefinition.max [ fhir:value "1" ] ], [
fhir:index 76;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.total:inoutnetwork.category" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.total.category" ];
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus";
fhir:link <http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBPayerBenefitPaymentStatus> ] ] ], [
fhir:index 77;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.payment.date" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 78;
fhir:Element.id [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.path [ fhir:value "ExplanationOfBenefit.processNote.text" ];
fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2020+ HL7 Financial Management Working Group. Package hl7.fhir.us.carin-bb#1.0.0 based on FHIR 4.0.1. Generated 2020-11-23
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