Profile Comparison between http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit vs http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit

Left:C4BB Explanation Of Benefit (http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit)
Right:C4BB Explanation Of Benefit (http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.2.0' vs '2.0.0'
InformationStructureDefinition.dateValues for date differ: '2021-12-06T20:26:50+00:00' vs '2022-11-28T15:29:06+00:00'
WarningExplanationOfBenefit.identifierElements differ in definition for mustSupport: 'true' vs 'false'
WarningExplanationOfBenefit.identifier.typeElements differ in definition for mustSupport: 'true' vs 'false'
InformationExplanationOfBenefit.identifier.typeElement minimum cardinalities differ: '1' vs '0'
InformationExplanationOfBenefit.billablePeriodElement minimum cardinalities differ: '0' vs '1'
WarningExplanationOfBenefit.billablePeriod.startElements differ in definition for mustSupport: 'false' vs 'true'
InformationExplanationOfBenefit.billablePeriod.startElement minimum cardinalities differ: '0' vs '1'

Metadata

NameValueComments
.abstracttrue
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
      .copyright
        .date2021-12-06T20:26:50+00:002022-11-28T15:29:06+00:00
        • Values Differ
        .descriptionAbstract parent profile that includes constraints that are common to the four specific ExplanationOfBenefit (EOB) profiles defined in this Implementation Guide. All EOB instances should be from one of the four concrete EOB profiles defined in this Implementation Guide: Inpatient, Outpatient, Pharmacy, and Professional/NonClinician
          .experimental
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindresource
                    .nameC4BBExplanationOfBenefit
                      .publisherHL7 Financial Management Working Group
                        .purpose
                          .statusactive
                            .titleC4BB Explanation Of Benefit
                              .typeExplanationOfBenefit
                                .urlhttp://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit
                                  .version1.2.02.0.0
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                  .. ExplanationOfBenefit 0..*ExplanationOfBenefitThis is an abstract profile. Child profiles: ExplanationOfBenefit, ExplanationOfBenefit, ExplanationOfBenefit, ExplanationOfBenefit, ExplanationOfBenefit
                                  Explanation of Benefit resource
                                  0..*ExplanationOfBenefitThis is an abstract profile. Child profiles: ExplanationOfBenefit, ExplanationOfBenefit, ExplanationOfBenefit, ExplanationOfBenefit, ExplanationOfBenefit
                                  Explanation of Benefit resource
                                    ... id Σ0..1stringLogical id of this artifactΣ0..1idLogical id of this artifact
                                      ... meta SΣ1..1MetaMetadata about the resourceSΣ1..1MetaMetadata about the resource
                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                          .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                          0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                            .... versionId Σ0..1idVersion specific identifierΣ0..1idVersion specific identifier
                                              .... lastUpdated SΣ1..1instantWhen the resource version last changedSΣ1..1instantWhen the resource version last changed
                                                .... source Σ0..1uriIdentifies where the resource comes fromΣ0..1uriIdentifies where the resource comes from
                                                  .... Slices for profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
                                                  Slice: Unordered, Open by pattern:$this
                                                  Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
                                                    .... security Σ0..*CodingSecurity Labels applied to this resource
                                                    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


                                                    Σ0..*CodingSecurity Labels applied to this resource
                                                    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


                                                      .... tag Σ0..*CodingTags applied to this resource
                                                      Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


                                                      Σ0..*CodingTags applied to this resource
                                                      Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


                                                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                                          ... language 0..1codeLanguage of the resource content
                                                          Binding: CommonLanguages (preferred): A human language.

                                                          Additional BindingsPurpose
                                                          AllLanguagesMax Binding
                                                          0..1codeLanguage of the resource content
                                                          Binding: CommonLanguages (preferred): A human language.

                                                          Additional BindingsPurpose
                                                          AllLanguagesMax Binding
                                                            ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                                              ... contained 0..*ResourceContained, inline Resources
                                                              0..*ResourceContained, inline Resources
                                                                ... extension 0..*ExtensionAdditional content defined by implementations
                                                                0..*ExtensionAdditional content defined by implementations
                                                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                                  ?!0..*ExtensionExtensions that cannot be ignored
                                                                    ... identifier S1..*IdentifierBusiness Identifier for the resource
                                                                    1..*IdentifierBusiness Identifier for the resource
                                                                    Slice: Unordered, Open by pattern:type
                                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                      Slice: Unordered, Open by value:url
                                                                      0..*ExtensionAdditional content defined by implementations
                                                                      Slice: Unordered, Open by value:url
                                                                        .... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
                                                                        Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

                                                                        ?!Σ0..1codeusual | official | temp | secondary | old (If known)
                                                                        Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

                                                                          .... type SΣ1..1CodeableConceptDescription of identifier
                                                                          Binding: C4BBClaimIdentifierType (extensible)
                                                                          Σ0..1CodeableConceptDescription of identifier
                                                                          Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                          • Element minimum cardinalities differ: '1' vs '0'
                                                                          .... system Σ0..1uriThe namespace for the identifier value
                                                                          Example General: http://www.acme.com/identifiers/patient
                                                                          Σ0..1uriThe namespace for the identifier value
                                                                          Example General: http://www.acme.com/identifiers/patient
                                                                            .... value Σ0..1stringThe value that is unique
                                                                            Example General: 123456
                                                                            Σ0..1stringThe value that is unique
                                                                            Example General: 123456
                                                                              .... period Σ0..1PeriodTime period when id is/was valid for useΣ0..1PeriodTime period when id is/was valid for use
                                                                                .... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)Σ0..1Reference(Organization)Organization that issued id (may be just text)
                                                                                  ... status ?!SΣ1..1codeactive | cancelled | draft | entered-in-error
                                                                                  Binding: ExplanationOfBenefitStatus (required): A code specifying the state of the resource instance.

                                                                                  ?!SΣ1..1codeactive | cancelled | draft | entered-in-error
                                                                                  Binding: ExplanationOfBenefitStatus (required): A code specifying the state of the resource instance.

                                                                                    ... type SΣ1..1CodeableConceptCategory or discipline
                                                                                    Binding: ClaimTypeCodes (required)
                                                                                    SΣ1..1CodeableConceptCategory or discipline
                                                                                    Binding: ClaimTypeCodes (required)
                                                                                      ... subType 0..1CodeableConceptMore granular claim type
                                                                                      Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.

                                                                                      0..1CodeableConceptMore granular claim type
                                                                                      Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.

                                                                                        ... use SΣ1..1codeclaim | preauthorization | predetermination
                                                                                        Binding: Use (required): Complete, proposed, exploratory, other.


                                                                                        Required Pattern: claim
                                                                                        SΣ1..1codeclaim | preauthorization | predetermination
                                                                                        Binding: Use (required): Complete, proposed, exploratory, other.


                                                                                        Required Pattern: claim
                                                                                          ... patient SΣ1..1Reference(C4BB Patient)The recipient of the products and servicesSΣ1..1Reference(C4BB Patient)The recipient of the products and services
                                                                                            ... billablePeriod SΣ0..1PeriodRelevant time frame for the claimSΣ1..1PeriodRelevant time frame for the claim
                                                                                            • Element minimum cardinalities differ: '0' vs '1'
                                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                              Slice: Unordered, Open by value:url
                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                              Slice: Unordered, Open by value:url
                                                                                                .... start ΣC0..1dateTimeStarting time with inclusive boundarySΣC1..1dateTimeStarting time with inclusive boundary
                                                                                                • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                • Element minimum cardinalities differ: '0' vs '1'
                                                                                                .... end ΣC0..1dateTimeEnd time with inclusive boundary, if not ongoingΣC0..1dateTimeEnd time with inclusive boundary, if not ongoing
                                                                                                  ... created Σ1..1dateTimeResponse creation dateΣ1..1dateTimeResponse creation date
                                                                                                    ... enterer 0..1Reference(Practitioner | PractitionerRole)Author of the claim0..1Reference(Practitioner | PractitionerRole)Author of the claim
                                                                                                      ... insurer SΣ1..1Reference(C4BB Organization)Party responsible for reimbursementSΣ1..1Reference(C4BB Organization)Party responsible for reimbursement
                                                                                                        ... provider SΣ1..1Reference(C4BB Organization | C4BB Practitioner)Party responsible for the claimSΣ1..1Reference(C4BB Organization | C4BB Practitioner)Party responsible for the claim
                                                                                                          ... priority 0..1CodeableConceptDesired processing urgency
                                                                                                          Binding: ProcessPriorityCodes (required)
                                                                                                          0..1CodeableConceptDesired processing urgency
                                                                                                          Binding: ProcessPriorityCodes (required)
                                                                                                            ... fundsReserveRequested 0..1CodeableConceptFor whom to reserve funds
                                                                                                            Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).

                                                                                                            0..1CodeableConceptFor whom to reserve funds
                                                                                                            Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).

                                                                                                              ... fundsReserve 0..1CodeableConceptFunds reserved status
                                                                                                              Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).

                                                                                                              0..1CodeableConceptFunds reserved status
                                                                                                              Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).

                                                                                                                ... related S0..*BackboneElementPrior or corollary claims
                                                                                                                S0..*BackboneElementPrior or corollary claims
                                                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                        .... claim 0..1Reference(Claim)Reference to the related claim0..1Reference(Claim)Reference to the related claim
                                                                                                                          .... relationship S1..1CodeableConceptHow the reference claim is related
                                                                                                                          Binding: C4BBRelatedClaimRelationshipCodes (required)
                                                                                                                          S1..1CodeableConceptHow the reference claim is related
                                                                                                                          Binding: C4BB Related Claim Relationship Codes Value Set (required)
                                                                                                                            .... reference S1..1IdentifierFile or case referenceS1..1IdentifierFile or case reference
                                                                                                                              ... prescription 0..1Reference(MedicationRequest | VisionPrescription)Prescription authorizing services or products0..1Reference(MedicationRequest | VisionPrescription)Prescription authorizing services or products
                                                                                                                                ... originalPrescription 0..1Reference(MedicationRequest)Original prescription if superceded by fulfiller0..1Reference(MedicationRequest)Original prescription if superceded by fulfiller
                                                                                                                                  ... payee SC0..1BackboneElementRecipient of benefits payable
                                                                                                                                  EOB-payee-other-type-requires-party: Base EOB: if payee type is other, payee party is required
                                                                                                                                  SC0..1BackboneElementRecipient of benefits payable
                                                                                                                                  EOB-payee-other-type-requires-party: Base EOB: if payee type is other, payee party is required
                                                                                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                          .... type S1..1CodeableConceptCategory of recipient
                                                                                                                                          Binding: C4BBPayeeType (required)
                                                                                                                                          S1..1CodeableConceptCategory of recipient
                                                                                                                                          Binding: C4BB Payee Type Value Set (required)
                                                                                                                                            .... party S0..1Reference(C4BB Organization | C4BB Patient | C4BB Practitioner)Recipient referenceS0..1Reference(C4BB Organization | C4BB Patient | C4BB Practitioner | C4BB RelatedPerson)Recipient reference
                                                                                                                                              ... referral 0..1Reference(ServiceRequest)Treatment Referral0..1Reference(ServiceRequest)Treatment Referral
                                                                                                                                                ... facility 0..1Reference(Location)Servicing Facility0..1Reference(Location)Servicing Facility
                                                                                                                                                  ... claim 0..1Reference(Claim)Claim reference0..1Reference(Claim)Claim reference
                                                                                                                                                    ... claimResponse 0..1Reference(ClaimResponse)Claim response reference0..1Reference(ClaimResponse)Claim response reference
                                                                                                                                                      ... outcome SΣ1..1codequeued | complete | error | partial
                                                                                                                                                      Binding: ClaimProcessingCodes (required): The result of the claim processing.

                                                                                                                                                      SΣ1..1codequeued | complete | error | partial
                                                                                                                                                      Binding: ClaimProcessingCodes (required): The result of the claim processing.

                                                                                                                                                        ... disposition 0..1stringDisposition Message0..1stringDisposition Message
                                                                                                                                                          ... preAuthRef 0..*stringPreauthorization reference
                                                                                                                                                          0..*stringPreauthorization reference
                                                                                                                                                            ... preAuthRefPeriod 0..*PeriodPreauthorization in-effect period
                                                                                                                                                            0..*PeriodPreauthorization in-effect period
                                                                                                                                                              ... careTeam S0..*BackboneElementCare Team members
                                                                                                                                                              S0..*BackboneElementCare Team members
                                                                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                      .... sequence 1..1positiveIntOrder of care team1..1positiveIntOrder of care team
                                                                                                                                                                        .... provider S1..1Reference(C4BB Organization | C4BB Practitioner)Practitioner or organizationS1..1Reference(C4BB Organization | C4BB Practitioner)Practitioner or organization
                                                                                                                                                                          .... responsible 0..1booleanIndicator of the lead practitioner0..1booleanIndicator of the lead practitioner
                                                                                                                                                                            .... role S0..1CodeableConceptFunction within the team
                                                                                                                                                                            Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.

                                                                                                                                                                            S0..1CodeableConceptFunction within the team
                                                                                                                                                                            Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.

                                                                                                                                                                              .... qualification 0..1CodeableConceptPractitioner credential or specialization
                                                                                                                                                                              Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.

                                                                                                                                                                              0..1CodeableConceptPractitioner credential or specialization
                                                                                                                                                                              Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.

                                                                                                                                                                                ... supportingInfo S0..*BackboneElementSupporting information
                                                                                                                                                                                S0..*BackboneElementSupporting information
                                                                                                                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                        .... sequence 1..1positiveIntInformation instance identifier1..1positiveIntInformation instance identifier
                                                                                                                                                                                          .... category 1..1CodeableConceptClassification of the supplied information
                                                                                                                                                                                          Binding: C4BBSupportingInfoType (extensible)
                                                                                                                                                                                          1..1CodeableConceptClassification of the supplied information
                                                                                                                                                                                          Binding: C4BB SupportingInfo Type Value Set (extensible)
                                                                                                                                                                                            .... code 0..1CodeableConceptType of information
                                                                                                                                                                                            Binding: ExceptionCodes (example): The valuset used for additional information codes.

                                                                                                                                                                                            0..1CodeableConceptType of information
                                                                                                                                                                                            Binding: ExceptionCodes (example): The valuset used for additional information codes.

                                                                                                                                                                                              .... timing[x] 0..1date, PeriodWhen it occurred0..1date, PeriodWhen it occurred
                                                                                                                                                                                                .... value[x] 0..1boolean, string, Quantity, Attachment, Reference(Resource)Data to be provided0..1boolean, string, Quantity, Attachment, Reference(Resource)Data to be provided
                                                                                                                                                                                                  .... reason 0..1CodingExplanation for the information
                                                                                                                                                                                                  Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.

                                                                                                                                                                                                  0..1CodingExplanation for the information
                                                                                                                                                                                                  Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.

                                                                                                                                                                                                    ... diagnosis 0..*BackboneElementPertinent diagnosis information
                                                                                                                                                                                                    0..*BackboneElementPertinent diagnosis information
                                                                                                                                                                                                      .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                        .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                          .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                            .... sequence 1..1positiveIntDiagnosis instance identifier1..1positiveIntDiagnosis instance identifier
                                                                                                                                                                                                              .... diagnosis[x] 1..1CodeableConcept, Reference(Condition)Nature of illness or problem
                                                                                                                                                                                                              Binding: ICD-10Codes (example): ICD10 Diagnostic codes.

                                                                                                                                                                                                              1..1CodeableConcept, Reference(Condition)Nature of illness or problem
                                                                                                                                                                                                              Binding: ICD-10Codes (example): ICD10 Diagnostic codes.

                                                                                                                                                                                                                .... type 0..*CodeableConceptTiming or nature of the diagnosis
                                                                                                                                                                                                                Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.


                                                                                                                                                                                                                0..*CodeableConceptTiming or nature of the diagnosis
                                                                                                                                                                                                                Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.


                                                                                                                                                                                                                  .... onAdmission 0..1CodeableConceptPresent on admission
                                                                                                                                                                                                                  Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.

                                                                                                                                                                                                                  0..1CodeableConceptPresent on admission
                                                                                                                                                                                                                  Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.

                                                                                                                                                                                                                    .... packageCode 0..1CodeableConceptPackage billing code
                                                                                                                                                                                                                    Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.

                                                                                                                                                                                                                    0..1CodeableConceptPackage billing code
                                                                                                                                                                                                                    Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.

                                                                                                                                                                                                                      ... procedure 0..*BackboneElementClinical procedures performed
                                                                                                                                                                                                                      0..*BackboneElementClinical procedures performed
                                                                                                                                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                              .... sequence 1..1positiveIntProcedure instance identifier1..1positiveIntProcedure instance identifier
                                                                                                                                                                                                                                .... type 0..*CodeableConceptCategory of Procedure
                                                                                                                                                                                                                                Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.


                                                                                                                                                                                                                                0..*CodeableConceptCategory of Procedure
                                                                                                                                                                                                                                Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.


                                                                                                                                                                                                                                  .... date 0..1dateTimeWhen the procedure was performed0..1dateTimeWhen the procedure was performed
                                                                                                                                                                                                                                    .... procedure[x] 1..1CodeableConcept, Reference(Procedure)Specific clinical procedure
                                                                                                                                                                                                                                    Binding: ICD-10ProcedureCodes (example): ICD10 Procedure codes.

                                                                                                                                                                                                                                    1..1CodeableConcept, Reference(Procedure)Specific clinical procedure
                                                                                                                                                                                                                                    Binding: ICD-10ProcedureCodes (example): ICD10 Procedure codes.

                                                                                                                                                                                                                                      .... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                      0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                        ... precedence 0..1positiveIntPrecedence (primary, secondary, etc.)0..1positiveIntPrecedence (primary, secondary, etc.)
                                                                                                                                                                                                                                          ... insurance SΣC1..*BackboneElementPatient insurance information
                                                                                                                                                                                                                                          EOB-insurance-focal: EOB.insurance: at most one with focal = true
                                                                                                                                                                                                                                          SΣC1..*BackboneElementPatient insurance information
                                                                                                                                                                                                                                          EOB-insurance-focal: EOB.insurance: at most one with focal = true
                                                                                                                                                                                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                  .... focal SΣ1..1booleanCoverage to be used for adjudicationSΣ1..1booleanCoverage to be used for adjudication
                                                                                                                                                                                                                                                    .... coverage SΣ1..1Reference(C4BB Coverage)Insurance informationSΣ1..1Reference(C4BB Coverage)Insurance information
                                                                                                                                                                                                                                                      .... preAuthRef 0..*stringPrior authorization reference number
                                                                                                                                                                                                                                                      0..*stringPrior authorization reference number
                                                                                                                                                                                                                                                        ... accident 0..1BackboneElementDetails of the event0..1BackboneElementDetails of the event
                                                                                                                                                                                                                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                .... date 0..1dateWhen the incident occurred0..1dateWhen the incident occurred
                                                                                                                                                                                                                                                                  .... type 0..1CodeableConceptThe nature of the accident
                                                                                                                                                                                                                                                                  Binding: V3 Value SetActIncidentCode (extensible): Type of accident: work place, auto, etc.

                                                                                                                                                                                                                                                                  0..1CodeableConceptThe nature of the accident
                                                                                                                                                                                                                                                                  Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.

                                                                                                                                                                                                                                                                    .... location[x] 0..1Address, Reference(Location)Where the event occurred0..1Address, Reference(Location)Where the event occurred
                                                                                                                                                                                                                                                                      ... item S1..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                      S1..*BackboneElementProduct or service provided
                                                                                                                                                                                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                              .... sequence S1..1positiveIntItem instance identifierS1..1positiveIntItem instance identifier
                                                                                                                                                                                                                                                                                .... careTeamSequence 0..*positiveIntApplicable care team members
                                                                                                                                                                                                                                                                                0..*positiveIntApplicable care team members
                                                                                                                                                                                                                                                                                  .... diagnosisSequence 0..*positiveIntApplicable diagnoses
                                                                                                                                                                                                                                                                                  0..*positiveIntApplicable diagnoses
                                                                                                                                                                                                                                                                                    .... procedureSequence 0..*positiveIntApplicable procedures
                                                                                                                                                                                                                                                                                    0..*positiveIntApplicable procedures
                                                                                                                                                                                                                                                                                      .... informationSequence 0..*positiveIntApplicable exception and supporting information
                                                                                                                                                                                                                                                                                      0..*positiveIntApplicable exception and supporting information
                                                                                                                                                                                                                                                                                        .... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                        Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                        0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                        Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                          .... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                          Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                          0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                          Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                            .... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                            Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                            1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                            Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                              .... modifier 0..*CodeableConceptProduct or service billing modifiers
                                                                                                                                                                                                                                                                                              Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                              0..*CodeableConceptProduct or service billing modifiers
                                                                                                                                                                                                                                                                                              Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                .... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                  .... serviced[x] 0..1date, PeriodDate or dates of service or product delivery0..1date, PeriodDate or dates of service or product delivery
                                                                                                                                                                                                                                                                                                    .... location[x] 0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                                                                    Binding: ExampleServicePlaceCodes (example): Place where the service is rendered.

                                                                                                                                                                                                                                                                                                    0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                                                                    Binding: ExampleServicePlaceCodes (example): Place where the service is rendered.

                                                                                                                                                                                                                                                                                                      .... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                                        .... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                          .... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                            .... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                              .... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                              0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                .... bodySite 0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                                                                                Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.

                                                                                                                                                                                                                                                                                                                0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                                                                                Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.

                                                                                                                                                                                                                                                                                                                  .... subSite 0..*CodeableConceptAnatomical sub-location
                                                                                                                                                                                                                                                                                                                  Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.


                                                                                                                                                                                                                                                                                                                  0..*CodeableConceptAnatomical sub-location
                                                                                                                                                                                                                                                                                                                  Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.


                                                                                                                                                                                                                                                                                                                    .... encounter 0..*Reference(Encounter)Encounters related to this billed item
                                                                                                                                                                                                                                                                                                                    0..*Reference(Encounter)Encounters related to this billed item
                                                                                                                                                                                                                                                                                                                      .... noteNumber S0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                      S0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                        .... adjudication 0..*BackboneElementAdjudication details
                                                                                                                                                                                                                                                                                                                        0..*BackboneElementAdjudication details
                                                                                                                                                                                                                                                                                                                          ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                            ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                              ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                ..... category S1..1CodeableConceptType of adjudication information
                                                                                                                                                                                                                                                                                                                                Binding: AdjudicationValueCodes (example): The adjudication codes.

                                                                                                                                                                                                                                                                                                                                S1..1CodeableConceptType of adjudication information
                                                                                                                                                                                                                                                                                                                                Binding: AdjudicationValueCodes (example): The adjudication codes.

                                                                                                                                                                                                                                                                                                                                  ..... reason 0..1CodeableConceptExplanation of adjudication outcome
                                                                                                                                                                                                                                                                                                                                  Binding: AdjudicationReasonCodes (example): Adjudication reason codes.

                                                                                                                                                                                                                                                                                                                                  0..1CodeableConceptExplanation of adjudication outcome
                                                                                                                                                                                                                                                                                                                                  Binding: AdjudicationReasonCodes (example): Adjudication reason codes.

                                                                                                                                                                                                                                                                                                                                    ..... amount 0..1MoneyMonetary amount0..1MoneyMonetary amount
                                                                                                                                                                                                                                                                                                                                      ..... value 0..1decimalNon-monitary value0..1decimalNon-monitary value
                                                                                                                                                                                                                                                                                                                                        .... detail 0..*BackboneElementAdditional items
                                                                                                                                                                                                                                                                                                                                        0..*BackboneElementAdditional items
                                                                                                                                                                                                                                                                                                                                          ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                            ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                              ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                ..... sequence 1..1positiveIntProduct or service provided1..1positiveIntProduct or service provided
                                                                                                                                                                                                                                                                                                                                                  ..... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                                                                  Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                                                                                  0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                                                                  Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                                                                                    ..... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                    Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                                                                                    0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                    Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                                                                                      ..... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                      Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                      1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                      Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                        ..... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                        Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                        0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                        Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                          ..... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                                                          Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                                                          0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                                                          Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                                                            ..... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                                                                                              ..... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                                                                ..... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                                                                  ..... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                                                                    ..... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                                                                    0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                                                                      ..... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                      0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                        ..... adjudication 0..*See adjudication (ExplanationOfBenefit)Detail level adjudication details
                                                                                                                                                                                                                                                                                                                                                                        0..*See adjudication (ExplanationOfBenefit)Detail level adjudication details
                                                                                                                                                                                                                                                                                                                                                                          ..... subDetail 0..*BackboneElementAdditional items
                                                                                                                                                                                                                                                                                                                                                                          0..*BackboneElementAdditional items
                                                                                                                                                                                                                                                                                                                                                                            ...... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                              ...... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                ...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                  ...... sequence 1..1positiveIntProduct or service provided1..1positiveIntProduct or service provided
                                                                                                                                                                                                                                                                                                                                                                                    ...... revenue 0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                                                                                                    Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                                                                                                                    0..1CodeableConceptRevenue or cost center code
                                                                                                                                                                                                                                                                                                                                                                                    Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.

                                                                                                                                                                                                                                                                                                                                                                                      ...... category 0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                                                      Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                                                                                                                      0..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                                                      Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                                                                                                                        ...... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                        Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                        1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                        Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                          ...... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                          Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                          0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                          Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                            ...... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                                                                                            Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                                                                                            0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                                                                                            Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                                                                                              ...... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                                                                                                                                ...... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                                                                                                  ...... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                                                                                                    ...... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                                                                                                      ...... udi 0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                                                                                                      0..*Reference(Device)Unique device identifier
                                                                                                                                                                                                                                                                                                                                                                                                        ...... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                        0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                          ...... adjudication 0..*See adjudication (ExplanationOfBenefit)Subdetail level adjudication details
                                                                                                                                                                                                                                                                                                                                                                                                          0..*See adjudication (ExplanationOfBenefit)Subdetail level adjudication details
                                                                                                                                                                                                                                                                                                                                                                                                            ... addItem 0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                                                                                                                            0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                                                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                    .... itemSequence 0..*positiveIntItem sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                    0..*positiveIntItem sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                      .... detailSequence 0..*positiveIntDetail sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                      0..*positiveIntDetail sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                        .... subDetailSequence 0..*positiveIntSubdetail sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                        0..*positiveIntSubdetail sequence number
                                                                                                                                                                                                                                                                                                                                                                                                                          .... provider 0..*Reference(Practitioner | PractitionerRole | Organization)Authorized providers
                                                                                                                                                                                                                                                                                                                                                                                                                          0..*Reference(Practitioner | PractitionerRole | Organization)Authorized providers
                                                                                                                                                                                                                                                                                                                                                                                                                            .... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                                                            Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                                                            1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                                                            Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                                                              .... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                                                              0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                                                                .... programCode 0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                                                                                                                                0..*CodeableConceptProgram the product or service is provided under
                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: ExampleProgramReasonCodes (example): Program specific reason codes.


                                                                                                                                                                                                                                                                                                                                                                                                                                  .... serviced[x] 0..1date, PeriodDate or dates of service or product delivery0..1date, PeriodDate or dates of service or product delivery
                                                                                                                                                                                                                                                                                                                                                                                                                                    .... location[x] 0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                                                                                                                                                                                                    Binding: ExampleServicePlaceCodes (example): Place where the service is rendered.

                                                                                                                                                                                                                                                                                                                                                                                                                                    0..1CodeableConcept, Address, Reference(Location)Place of service or where product was supplied
                                                                                                                                                                                                                                                                                                                                                                                                                                    Binding: ExampleServicePlaceCodes (example): Place where the service is rendered.

                                                                                                                                                                                                                                                                                                                                                                                                                                      .... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                                                                                                                                                                        .... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                                                                                                                                          .... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                                                                                                                                            .... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                                                                                                                                              .... bodySite 0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.

                                                                                                                                                                                                                                                                                                                                                                                                                                              0..1CodeableConceptAnatomical location
                                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.

                                                                                                                                                                                                                                                                                                                                                                                                                                                .... subSite 0..*CodeableConceptAnatomical sub-location
                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.


                                                                                                                                                                                                                                                                                                                                                                                                                                                0..*CodeableConceptAnatomical sub-location
                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.


                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                                                                  0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                                                                    .... adjudication 0..*See adjudication (ExplanationOfBenefit)Added items adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                    0..*See adjudication (ExplanationOfBenefit)Added items adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... detail 0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                                                                                                                                                                      0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                                                                                                                                                                        ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                              ..... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                              1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                ..... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                                                                                                0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ..... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ..... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ..... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ..... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... adjudication 0..*See adjudication (ExplanationOfBenefit)Added items adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            0..*See adjudication (ExplanationOfBenefit)Added items adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ..... subDetail 0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0..*BackboneElementInsurer added line items
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ...... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ...... productOrService 1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1..1CodeableConceptBilling, service, product, or drug code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Binding: USCLSCodes (example): Allowable service and product codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ...... modifier 0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        0..*CodeableConceptService/Product billing modifiers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ...... quantity 0..1SimpleQuantityCount of products or services0..1SimpleQuantityCount of products or services
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ...... unitPrice 0..1MoneyFee, charge or cost per item0..1MoneyFee, charge or cost per item
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ...... factor 0..1decimalPrice scaling factor0..1decimalPrice scaling factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ...... net 0..1MoneyTotal item cost0..1MoneyTotal item cost
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ...... noteNumber 0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  0..*positiveIntApplicable note numbers
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ...... adjudication 0..*See adjudication (ExplanationOfBenefit)Added items adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    0..*See adjudication (ExplanationOfBenefit)Added items adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ... adjudication 0..*See adjudication (ExplanationOfBenefit)Header-level adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0..*See adjudication (ExplanationOfBenefit)Header-level adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ... total SΣ1..*BackboneElementAdjudication totals
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        SΣ1..*BackboneElementAdjudication totals
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                .... category Σ1..1CodeableConceptType of adjudication information
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: AdjudicationValueCodes (example): The adjudication codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Σ1..1CodeableConceptType of adjudication information
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: AdjudicationValueCodes (example): The adjudication codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... amount Σ1..1MoneyFinancial total for the categoryΣ1..1MoneyFinancial total for the category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ... payment S0..1BackboneElementPayment DetailsS0..1BackboneElementPayment Details
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... type S0..1CodeableConceptPartial or complete payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Binding: C4BBPayerClaimPaymentStatusCode (required)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            S0..1CodeableConceptPartial or complete payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Binding: C4BB Payer Claim Payment Status Code Value Set (required)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... adjustment 0..1MoneyPayment adjustment for non-claim issues0..1MoneyPayment adjustment for non-claim issues
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                .... adjustmentReason 0..1CodeableConceptExplanation for the variance
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: PaymentAdjustmentReasonCodes (example): Payment Adjustment reason codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                0..1CodeableConceptExplanation for the variance
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: PaymentAdjustmentReasonCodes (example): Payment Adjustment reason codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... date 0..1dateExpected date of payment0..1dateExpected date of payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    .... amount 0..1MoneyPayable amount after adjustment0..1MoneyPayable amount after adjustment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... identifier 0..1IdentifierBusiness identifier for the payment0..1IdentifierBusiness identifier for the payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ... formCode 0..1CodeableConceptPrinted form identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Binding: Form Codes (example): The forms codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        0..1CodeableConceptPrinted form identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Binding: Form Codes (example): The forms codes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ... form 0..1AttachmentPrinted reference or actual form0..1AttachmentPrinted reference or actual form
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... processNote S0..*BackboneElementNote concerning adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            S0..*BackboneElementNote concerning adjudication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    .... number 0..1positiveIntNote instance identifier0..1positiveIntNote instance identifier
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... type 0..1codedisplay | print | printoper
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Binding: NoteType (required): The presentation types of notes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0..1codedisplay | print | printoper
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Binding: NoteType (required): The presentation types of notes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        .... text 0..1stringNote explanatory text0..1stringNote explanatory text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... language 0..1CodeableConceptLanguage of the text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Binding: CommonLanguages (preferred): A human language.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Additional BindingsPurpose
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          AllLanguagesMax Binding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          0..1CodeableConceptLanguage of the text
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Binding: CommonLanguages (preferred): A human language.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Additional BindingsPurpose
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          AllLanguagesMax Binding
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ... benefitPeriod 0..1PeriodWhen the benefits are applicable0..1PeriodWhen the benefits are applicable
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ... benefitBalance 0..*BackboneElementBalance by Benefit Category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0..*BackboneElementBalance by Benefit Category
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      .... category 1..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision, oral-basic etc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        .... excluded 0..1booleanExcluded from the plan0..1booleanExcluded from the plan
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          .... name 0..1stringShort name for the benefit0..1stringShort name for the benefit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .... description 0..1stringDescription of the benefit or services covered0..1stringDescription of the benefit or services covered
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              .... network 0..1CodeableConceptIn or out of network
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: NetworkTypeCodes (example): Code to classify in or out of network services.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0..1CodeableConceptIn or out of network
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Binding: NetworkTypeCodes (example): Code to classify in or out of network services.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                .... unit 0..1CodeableConceptIndividual or family
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: UnitTypeCodes (example): Unit covered/serviced - individual or family.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                0..1CodeableConceptIndividual or family
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Binding: UnitTypeCodes (example): Unit covered/serviced - individual or family.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .... term 0..1CodeableConceptAnnual or lifetime
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Binding: BenefitTermCodes (example): Coverage unit - annual, lifetime.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  0..1CodeableConceptAnnual or lifetime
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Binding: BenefitTermCodes (example): Coverage unit - annual, lifetime.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    .... financial 0..*BackboneElementBenefit Summary
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    0..*BackboneElementBenefit Summary
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ..... type 1..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Binding: BenefitTypeCodes (example): Deductable, visits, co-pay, etc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1..1CodeableConceptBenefit classification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Binding: BenefitTypeCodes (example): Deductable, visits, co-pay, etc.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ..... allowed[x] 0..1unsignedInt, string, MoneyBenefits allowed0..1unsignedInt, string, MoneyBenefits allowed
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ..... used[x] 0..1unsignedInt, MoneyBenefits used0..1unsignedInt, MoneyBenefits used

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  doco Documentation for this format