R6 Ballot (1st Full Ballot)

This page is part of the FHIR Specification v6.0.0-ballot4: Release 6 Ballot (1st Full Ballot) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions for published versions icon

16.10.33 Resource ExplanationOfBenefit - Maturity Dependency View

Responsible Owner: Financial Management icon Work Group Normative Compartments: Device, Encounter, Group, Patient, Practitioner, RelatedPerson

Dependency Graph for ExplanationOfBenefit FMM level 2

NameCard.TypeDependency Analysis
.. ExplanationOfBenefit DomainResource
... identifier 0..* Identifier
... traceNumber 0..* Identifier
... status 1..1 code
... statusReason 0..1 string
... type 1..1 CodeableConcept
... subType 0..1 CodeableConcept
... use 1..1 code
... subject 1..1 Reference(Patient | Group)
... billablePeriod 0..1 Period
... created 1..1 dateTime
... enterer 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
... insurer 0..1 Reference(Organization)
... provider 0..1 Reference(Practitioner | PractitionerRole | Organization)
... priority 0..1 CodeableConcept
... fundsReserveRequested 0..1 CodeableConcept
... fundsReserve 0..1 CodeableConcept
... related 0..* BackboneElement
.... claim 0..1 Reference(Claim | ExplanationOfBenefit)
.... relationship 0..1 CodeableConcept
.... reference 0..1 Identifier
... prescription 0..1 Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)
... originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)
... event 0..* BackboneElement
.... type 1..1 CodeableConcept
.... when[x] 1..1
..... whenDateTime dateTime
..... whenPeriod Period
... payee 0..1 BackboneElement
.... type 0..1 CodeableConcept
.... party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)
... referral 0..1 Reference(ServiceRequest)
... encounter 0..* Reference(Encounter)
... facility 0..1 Reference(Location | Organization)
... claim 0..1 Reference(Claim)
... claimResponse 0..1 Reference(ClaimResponse)
... outcome 1..1 code
... decision 0..1 CodeableConcept
... disposition 0..1 string
... preAuthRef 0..* string
... preAuthRefPeriod 0..* Period
... diagnosisRelatedGroup 0..1 CodeableConcept
... careTeam 0..* BackboneElement
.... sequence 1..1 positiveInt
.... provider 1..1 Reference(Practitioner | PractitionerRole | Organization)
.... role 0..1 CodeableConcept
.... specialty 0..1 CodeableConcept
... supportingInfo 0..* BackboneElement
.... sequence 1..1 positiveInt
.... category 1..1 CodeableConcept
.... code 0..1 CodeableConcept
.... timing[x] 0..1
..... timingDateTime dateTime
..... timingPeriod Period
..... timingTiming Timing
.... value[x] 0..1 *
.... reason 0..1 Coding
... diagnosis 0..* BackboneElement
.... sequence 1..1 positiveInt
.... diagnosis[x] 1..1
..... diagnosisCodeableConcept CodeableConcept
..... diagnosisReference Reference(Condition
.... type 0..* CodeableConcept
.... onAdmission 0..1 CodeableConcept
... procedure 0..* BackboneElement
.... sequence 1..1 positiveInt
.... type 0..* CodeableConcept
.... date 0..1 dateTime
.... procedure[x] 1..1
..... procedureCodeableConcept CodeableConcept
..... procedureReference Reference(Procedure
.... udi 0..* Reference(Device)
... precedence 0..1 positiveInt
... insurance 0..* BackboneElement
.... focal 1..1 boolean
.... coverage 1..1 Reference(Coverage)
.... preAuthRef 0..* string
... accident 0..1 BackboneElement
.... date 0..1 date
.... type 0..1 CodeableConcept
.... location[x] 0..1
..... locationAddress Address
..... locationReference Reference(Location
... patientPaid 0..1 Money
... item 0..* BackboneElement
.... sequence 1..1 positiveInt
.... careTeamSequence 0..* positiveInt
.... diagnosisSequence 0..* positiveInt
.... procedureSequence 0..* positiveInt
.... informationSequence 0..* positiveInt
.... traceNumber 0..* Identifier
.... subject 0..1 Reference(Patient | Group)
.... revenue 0..1 CodeableConcept
.... category 0..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | VisionPrescription)
.... modifier 0..* CodeableConcept
.... programCode 0..* CodeableConcept
.... serviced[x] 0..1
..... servicedDate date
..... servicedPeriod Period
.... location[x] 0..1
..... locationCodeableConcept CodeableConcept
..... locationAddress Address
..... locationReference Reference(Location
.... patientPaid 0..1 Money
.... quantity 0..1 SimpleQuantity
.... unitPrice 0..1 Money
.... factor 0..1 decimal
.... tax 0..1 Money
.... net 0..1 Money
.... udi 0..* Reference(Device)
.... bodySite 0..* BackboneElement
..... site 1..* CodeableReference
..... subSite 0..* CodeableConcept
.... encounter 0..* Reference(Encounter)
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 BackboneElement
..... decision 0..1 CodeableConcept
..... reason 0..* CodeableConcept
..... preAuthRef 0..1 string
..... preAuthPeriod 0..1 Period
.... adjudication 0..* BackboneElement
..... category 1..1 CodeableConcept
..... reason 0..1 CodeableConcept
..... amount 0..1 Money
..... quantity 0..1 Quantity
..... decisionDate 0..1 dateTime
.... detail 0..* BackboneElement
..... sequence 1..1 positiveInt
..... traceNumber 0..* Identifier
..... revenue 0..1 CodeableConcept
..... category 0..1 CodeableConcept
..... productOrService 0..1 CodeableConcept
..... productOrServiceEnd 0..1 CodeableConcept
..... modifier 0..* CodeableConcept
..... programCode 0..* CodeableConcept
..... patientPaid 0..1 Money
..... quantity 0..1 SimpleQuantity
..... unitPrice 0..1 Money
..... factor 0..1 decimal
..... tax 0..1 Money
..... net 0..1 Money
..... udi 0..* Reference(Device)
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... sequence 1..1 positiveInt
...... traceNumber 0..* Identifier
...... revenue 0..1 CodeableConcept
...... category 0..1 CodeableConcept
...... productOrService 0..1 CodeableConcept
...... productOrServiceEnd 0..1 CodeableConcept
...... modifier 0..* CodeableConcept
...... programCode 0..* CodeableConcept
...... patientPaid 0..1 Money
...... quantity 0..1 SimpleQuantity
...... unitPrice 0..1 Money
...... factor 0..1 decimal
...... tax 0..1 Money
...... net 0..1 Money
...... udi 0..* Reference(Device)
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see reviewOutcome
...... adjudication 0..* see adjudication
... addItem 0..* BackboneElement
.... itemSequence 0..* positiveInt
.... detailSequence 0..* positiveInt
.... subDetailSequence 0..* positiveInt
.... traceNumber 0..* Identifier
.... subject 0..1 Reference(Patient | Group)
.... informationSequence 0..* positiveInt
.... provider 0..* Reference(Practitioner | PractitionerRole | Organization)
.... revenue 0..1 CodeableConcept
.... category 0..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | VisionPrescription)
.... modifier 0..* CodeableConcept
.... programCode 0..* CodeableConcept
.... serviced[x] 0..1
..... servicedDate date
..... servicedPeriod Period
.... location[x] 0..1
..... locationCodeableConcept CodeableConcept
..... locationAddress Address
..... locationReference Reference(Location
.... patientPaid 0..1 Money
.... quantity 0..1 SimpleQuantity
.... unitPrice 0..1 Money
.... factor 0..1 decimal
.... tax 0..1 Money
.... net 0..1 Money
.... bodySite 0..* BackboneElement
..... site 1..* CodeableReference
..... subSite 0..* CodeableConcept
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 see reviewOutcome
.... adjudication 0..* see adjudication
.... detail 0..* BackboneElement
..... traceNumber 0..* Identifier
..... revenue 0..1 CodeableConcept
..... productOrService 0..1 CodeableConcept
..... productOrServiceEnd 0..1 CodeableConcept
..... modifier 0..* CodeableConcept
..... patientPaid 0..1 Money
..... quantity 0..1 SimpleQuantity
..... unitPrice 0..1 Money
..... factor 0..1 decimal
..... tax 0..1 Money
..... net 0..1 Money
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... traceNumber 0..* Identifier
...... revenue 0..1 CodeableConcept
...... productOrService 0..1 CodeableConcept
...... productOrServiceEnd 0..1 CodeableConcept
...... modifier 0..* CodeableConcept
...... patientPaid 0..1 Money
...... quantity 0..1 SimpleQuantity
...... unitPrice 0..1 Money
...... factor 0..1 decimal
...... tax 0..1 Money
...... net 0..1 Money
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see reviewOutcome
...... adjudication 0..* see adjudication
... adjudication 0..* see adjudication
... total 0..* BackboneElement
.... category 1..1 CodeableConcept
.... amount 1..1 Money
... payment 0..1 BackboneElement
.... type 0..1 CodeableConcept
.... adjustment 0..1 Money
.... adjustmentReason 0..1 CodeableConcept
.... date 0..1 date
.... amount 0..1 Money
.... identifier 0..1 Identifier
... formCode 0..1 CodeableConcept
... form 0..1 Attachment
... processNote 0..* BackboneElement
.... class 0..1 CodeableConcept
.... number 0..1 positiveInt
.... type 0..1 CodeableConcept
.... text 0..1 markdown
.... language 0..1 CodeableConcept
... benefitPeriod 0..1 Period
... benefitBalance 0..* BackboneElement
.... category 1..1 CodeableConcept
.... excluded 0..1 boolean
.... name 0..1 string
.... description 0..1 string
.... network 0..1 CodeableConcept
.... unit 0..1 CodeableConcept
.... term 0..1 CodeableConcept
.... financial 0..* BackboneElement
..... type 1..1 CodeableConcept
..... allowed[x] 0..1
...... allowedUnsignedInt unsignedInt
...... allowedString string
...... allowedMoney Money
..... used[x] 0..1
...... usedUnsignedInt unsignedInt
...... usedMoney Money